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2FQ-30782-67933

6 vaccinations 6 coded responses 53 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
068 / CT
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-04
    Survey response — day 21, dose 1
    MedDRA: Injection site pain, Sleep disorder — Feeling: Good
    Free text: Sore muscle at site of injection, but only after sleeping on that side. I have been avoiding sleeping on it since I had gotten the shot, so most likely I would have experienced it earlier than now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Dose 2 — Moderna
  12. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Persistent headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pain, Pyrexia, Urinary retention — Feeling: Good · Site: Pain · Headache
    Free text: Yesterday significant urinary retention accompanied the fever, headaches, aches & pains, but no issue today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Injection site pain — Feeling: Fair
    Free text: Arm pain near injection site. Its been present since the vaccination. I havent been reporting it because I thought it was unrelated shoulder strain. But its become more localized and independent of arm position e.g. lifting arm above hea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-26
    Dose 3 — Moderna
  26. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Pain — Feeling: Good · Site: Pain, Redness
    Free text: Headache, body aches the day after the 3rd dose. Today, the 2nd day after the 3rd dose, nearly 100% of pre-dose feeling.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  28. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  29. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  30. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-05-20
    Dose 4 — Moderna
  40. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  41. 2022-05-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal pain — Feeling: Good · Fatigue or tiredness
    Free text: Abdominal pain last night
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-05-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-06-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-06-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-06-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-06-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-07-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-09-29
    Dose 5 — Moderna
  53. 2022-11-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-04-29
    Dose 6 — Moderna
  55. 2023-05-08
    Health check-in — day 7, dose 6
    Feeling: Good · None
    Adult check-in
  56. 2023-05-15
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  57. 2023-05-20
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  58. 2023-05-27
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  59. 2023-06-03
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  60. 2023-06-10
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna
32021-10-26Moderna No
42022-05-20Moderna No
52022-09-29Moderna No
62023-04-29Moderna No

Free text

Release 5 — day 21, dose 1

2021-03-04

Symptoms: Sore muscle at site of injection, but only after sleeping on that side. I have been avoiding sleeping on it since I had gotten the shot, so most likely I would have experienced it earlier than now.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Persistent headache

2021-03-13

Systemic reaction (other): Yesterday significant urinary retention accompanied the fever, headaches, aches & pains, but no issue today

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Arm pain near injection site. Its been present since the vaccination. I havent been reporting it because I thought it was unrelated shoulder strain. But its become more localized and independent of arm position e.g. lifting arm above hea

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Headache, body aches the day after the 3rd dose. Today, the 2nd day after the 3rd dose, nearly 100% of pre-dose feeling.

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Abdominal pain last night

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
SDInjection site pain ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SROAbdominal pain · · ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUrinary retention ✓ ✓ ✓

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