2DF-10270-83158
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 320 / FL
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Moderna
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: Mild soreness at the site and around the area of the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain noted above is very mild around the injection site. It's improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
- 2021-01-26
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2021-02-02
Dose 2 — Moderna
- 2021-02-02
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Injection site bruising, Injection site erythema, Injection site swelling, Nausea, Vomiting — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: I had the nausea, vomiting last night. Couldnt eat my dinner so the vomiting was mostly fluid, stomach juices. Ive had a light appetite since the 2nd injection and have lost 3 1/2 lbs which leaves me still within my ideal weight range. Today Im better with more energy and the redness which was several inches below the injection site is much better. The bruising has improved but still some greenish color around the injection site. Today the swelling has improved. I think Im through the worse of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-07
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: I still have bruising around the injection site. Its greenish in color. The nurse who performed the injection was gentle and there was no trauma related to her injection. Its interesting to me that I did not have bruising, swelling, redness, rash, etc with the 1st injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 7, dose 2MedDRA: Contusion — Feeling: GoodFree text: Bruising is improving and should be gone soonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-08-03
Survey response — 6 months, dose 2MedDRA: Barrett's oesophagus — Feeling: GoodFree text: Barretts non-dysplasia 7/1/21MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a head cold (not COVID) that last for 12 days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild soreness at the site and around the area of the injection site
Systemic reaction (other): The pain noted above is very mild around the injection site. It's improving
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had the nausea, vomiting last night. Couldnt eat my dinner so the vomiting was mostly fluid, stomach juices. Ive had a light appetite since the 2nd injection and have lost 3 1/2 lbs which leaves me still within my ideal weight range. Today Im better with more energy and the redness which was several inches below the injection site is much better. The bruising has improved but still some greenish color around the injection site. Today the swelling has improved. I think Im through the worse of it.
Systemic reaction (other): I still have bruising around the injection site. Its greenish in color. The nurse who performed the injection was gentle and there was no trauma related to her injection. Its interesting to me that I did not have bruising, swelling, redness, rash, etc with the 1st injection.
Release 3 — day 7, dose 2
Systemic reaction (other): Bruising is improving and should be gone soon
Release 9 — 6 months, dose 2
Symptoms: Barretts non-dysplasia 7/1/21
Release 11 — 12 months, dose 2
Symptoms: I had a head cold (not COVID) that last for 12 days.
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 | Barrett's oesophagus | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release