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2LE-18441-92336

2 vaccinations 10 coded responses 18 check-ins 10 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
440 / OH
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Moderna
  3. 2021-03-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness · Muscle or body aches
    Free text: Could have over done it at work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Injection site erythema, Injection site pain, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: First few days felt aches and tired and injection red and painful. Better now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-27
    Dose 2 — Moderna
  10. 2021-04-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Nausea, Sick leave — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Light headed and nauseous. Worked a bit this morning but came back home and went to bed and still here now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  14. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Not sure Rash on forearm and back of hand have anything to do with shot or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-05-06
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Cant say Rash/itching on top wrist and hand of arm shot was in was from shot but pretty coincidental it started right after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-15
    Survey response — day 14, dose 2
    MedDRA: Epistaxis — Feeling: Good
    Free text: Have had a couple of nose bleeds in morning after getting up since first shot but dont know if it related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-21
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Top of left forearm and back of hand still itch. Don't know if shot related or not but started after
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-04
    Survey response — day 35, dose 2
    MedDRA: Pruritus, Rash — Feeling: Good
    Free text: Top of forearm and hand on side i received shot still itches and rash like
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-10-28
    Survey response — 6 months, dose 2
    MedDRA: Eczema, Rash, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Sinus infections, eczema rash on arm
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-28
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  22. 2021-11-01
  23. 2022-04-29
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Cardiac disorder, Fatigue, Feeling abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: since shots last year feel somethings wrong. out of it and think effected my heart somehow. $10k worth of tests now so far. Also got covid anyway January 1st and have such severe fatigue still have to force myself out if bed in mornings and tired
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-29
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  25. 2022-05-03

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-04-27Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Could have over done it at work

2021-04-04

Systemic reaction (other): First few days felt aches and tired and injection red and painful. Better now

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Light headed and nauseous. Worked a bit this morning but came back home and went to bed and still here now.

2021-05-02

Systemic reaction (other): Not sure Rash on forearm and back of hand have anything to do with shot or not.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Cant say Rash/itching on top wrist and hand of arm shot was in was from shot but pretty coincidental it started right after.

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Have had a couple of nose bleeds in morning after getting up since first shot but dont know if it related.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Top of left forearm and back of hand still itch. Don't know if shot related or not but started after

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Top of forearm and hand on side i received shot still itches and rash like

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Sinus infections, eczema rash on arm

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: since shots last year feel somethings wrong. out of it and think effected my heart somehow. $10k worth of tests now so far. Also got covid anyway January 1st and have such severe fatigue still have to force myself out if bed in mornings and tired

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
SDCardiac disorder · · ✓
SDCOVID-19 · · ✓
SDEczema · · ✓
SDEpistaxis ✓ ✓ ✓
SDFatigue · · ✓
SDFeeling abnormal · · ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSinusitis · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ · ✓
SRONausea ✓ ✓ ✓
SROPain ✓ · ✓
SRORash ✓ ✓ ✓
SROSick leave ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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