2BT-85542-61366
4 vaccinations
10 coded responses
33 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 605 / IL
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
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2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Parosmia — Feeling: GoodFree text: I woke up at 3am and smelled fresh house paint. I havent painted the house in several yearsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: Cold sore on my lip. I have only seen my immediate familyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Cold sore persists. Havent had one in several yearsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: Cold sore persistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 7, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: Cold sore, almost cleared up nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
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2021-03-26
Dose 2 — Moderna
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2021-03-26
Survey response — day 0, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Heart rate was higher during exercise, took longer to recover to resting rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Night sweats, Type 1 diabetes mellitus — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Im type 1 diabetic (diagnosed 1979) and have elevated blood glucose, requiring several adjusting boluses. I sweat through my shirt during the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Pre-existing disease — Feeling: GoodFree text: I still have elevated blood glucose. I have changed my infusion set, but no luck. Seems to be doing a real number on my metabolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose abnormal — Feeling: GoodFree text: Blood glucose is back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
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2021-11-23
Dose 3 — Moderna
- 2022-03-26
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2022-04-07
Dose 4 — Moderna
- 2022-04-30
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
- 2022-10-08
-
2023-04-07
Survey response — 12 months, dose 4MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up at 3am and smelled fresh house paint. I havent painted the house in several years
Systemic reaction (other): Cold sore on my lip. I have only seen my immediate family
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Cold sore persists. Havent had one in several years
Systemic reaction (other): Cold sore persists
Release 5 — day 7, dose 1
Systemic reaction (other): Cold sore, almost cleared up now
Release 6 — day 0, dose 2
Systemic reaction (other): Heart rate was higher during exercise, took longer to recover to resting rate
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Im type 1 diabetic (diagnosed 1979) and have elevated blood glucose, requiring several adjusting boluses. I sweat through my shirt during the night.
Systemic reaction (other): I still have elevated blood glucose. I have changed my infusion set, but no luck. Seems to be doing a real number on my metabolism
Systemic reaction (other): Blood glucose is back to normal
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Type 1 diabetes mellitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release