2L8-20878-81572
6 vaccinations
11 coded responses
73 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 630 / MO
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
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2021-03-11
Survey response — day 0, dose 1MedDRA: Injection site pain, Insomnia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Made my appt. at 11 p.m. and got almost no sleep afterward, so not sure I can blame vaccine. Injection site is only slightly sore, better than after shingles vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: only the area right below the site of the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Muscle below injection site almost unnoticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-03
- 2021-04-08
-
2021-04-09
Dose 2 — Moderna
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-10-27
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia, Pain — Feeling: Good · Site: PainFree text: Muscle and body aches on 10/28/21MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-09
Dose 4 — ModernaCo-administered: Tetanus
- 2022-04-09
-
2022-04-10
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Poor quality sleep — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have not been sleeping well for a few weeks, so my tiredness may be due to that.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
-
2022-04-12
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Very mild soreness at the injection site if I touch it.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-13
- 2022-04-15
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-09
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2022-10-07
Dose 5 — Moderna
- 2022-10-07
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2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Diarrhoea, Injection site pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: The pain at the injection site is more of a stiffness when I move my arm. Diarrhea may be due to another medication. Symptoms less severe than ever before.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
-
2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild injection site pain only on contactMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild discomfort if I make contact with the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
- 2022-10-13
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-07
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2023-04-06
Dose 6 — Moderna
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2023-04-07
Survey response — days 1–6 daily, dose 6MedDRA: Adverse reaction, Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11
- 2023-04-08
- 2023-04-09
-
2023-04-10
Survey response — days 1–6 daily, dose 6MedDRA: Injection site pain — Feeling: Good · Site: PainMedDRA releases: 2024-11
- 2023-04-11
- 2023-04-12
- 2023-04-20
- 2023-04-27
- 2023-05-04
- 2023-05-11
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-09 | Moderna | Tetanus |
| 5 | 2022-10-07 | Moderna | No |
| 6 | 2023-04-06 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Made my appt. at 11 p.m. and got almost no sleep afterward, so not sure I can blame vaccine. Injection site is only slightly sore, better than after shingles vaccine.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): only the area right below the site of the injection
Systemic reaction (other): Muscle below injection site almost unnoticeable.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Muscle and body aches on 10/28/21
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have not been sleeping well for a few weeks, so my tiredness may be due to that.
Systemic reaction (other): Very mild soreness at the injection site if I touch it.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): The pain at the injection site is more of a stiffness when I move my arm. Diarrhea may be due to another medication. Symptoms less severe than ever before.
Systemic reaction (other): Mild injection site pain only on contact
Systemic reaction (other): Mild discomfort if I make contact with the injection site.
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release