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2HS-28239-16883

2 vaccinations 5 coded responses 11 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
577 / SD
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: still sore at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Therapeutic response unexpected — Feeling: Good
    Free text: I had positive covid test in Dec. and my eyes itched and watered a lot and inside corner of left eye was always red. About 3 days after my vaccination my eyes stopped itching and watering.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort, Decreased appetite, Fatigue — Feeling: Fair
    Free text: upset stomach, no appetite, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Dose 2 — Moderna
  13. 2021-09-02
    Survey response — 6 months, dose 1
    MedDRA: Eye disorder, Eye pruritus, Headache, Lacrimation increased, Swelling of eyelid, Vein discolouration — Feeling: Fair
    Free text: Left eye always watery and feels weird. Red veins inside corner. Looks like eye lid is closed more than right eye. Both suddenly itch and water. Random slight headaches.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2022-04-01
    Survey response — 12 months, dose 2
    MedDRA: Cough, Fatigue — Feeling: Good
    Free text: More frequent dry cough's and tired 98 o/o of the time.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): still sore at injection site

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): I had positive covid test in Dec. and my eyes itched and watered a lot and inside corner of left eye was always red. About 3 days after my vaccination my eyes stopped itching and watering.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: upset stomach, no appetite, fatigue

Release 9 — 6 months, dose 1

2021-09-02

Symptoms: Left eye always watery and feels weird. Red veins inside corner. Looks like eye lid is closed more than right eye. Both suddenly itch and water. Random slight headaches.

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: More frequent dry cough's and tired 98 o/o of the time.

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
SDAbdominal discomfort ✓ ✓ ✓
SDCough · · ✓
SDDecreased appetite ✓ ✓ ✓
SDEye disorder ✓ · ✓
SDEye pruritus ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ · ✓
SDLacrimation increased ✓ · ✓
SDSwelling of eyelid ✓ · ✓
SDVein discolouration ✓ · ✓
SROInjection site pain ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓

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