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2CX-12842-83879

4 vaccinations 5 coded responses 29 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
334 / FL
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-17
    Registered in v-safe
  3. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-11
    Dose 2 — Moderna
  7. 2021-05-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in jaw, Pelvic pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sharp shooting pain in jaw area and then front pelvic area. Jaw: 11pm may 12th 2021.pelvic: 3am may13th 2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pain — Feeling: Fair · Joint pains
    Free text: Very sharp shooting joint pain hurt like a bitch in the knuckle of my index finger right hand and the big toe on my right foot and the ball of my right foot underneath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-25
    Survey response — day 14, dose 2
    MedDRA: Peripheral swelling — Feeling: Good
    Free text: Swollen feet and hands lasted about five or six hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-17
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Chest pain, Pain — Feeling: Good
    Free text: Twice I have felt sharp shooting pain in one of my joints and one on the right side of my chest the pain go straight through last for about 3 to 10 seconds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-10
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: All over body joint pain mainly on the left side
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-17
    Dose 3 — Moderna
  22. 2022-05-01
    Dose 4 — Moderna
  23. 2022-05-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  24. 2022-05-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  25. 2022-05-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  26. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  27. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  28. 2022-05-08
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  29. 2022-05-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-06-05
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-06-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna
32021-12-17Moderna No
42022-05-01Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Sharp shooting pain in jaw area and then front pelvic area. Jaw: 11pm may 12th 2021.pelvic: 3am may13th 2021

2021-05-15

Systemic reaction (other): Very sharp shooting joint pain hurt like a bitch in the knuckle of my index finger right hand and the big toe on my right foot and the ball of my right foot underneath

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Swollen feet and hands lasted about five or six hours

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Twice I have felt sharp shooting pain in one of my joints and one on the right side of my chest the pain go straight through last for about 3 to 10 seconds

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: All over body joint pain mainly on the left side

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPelvic pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release