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2NF-32375-35689

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
652 / MO
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Fatigue or tiredness, Nausea
    Free text: Back pain near the kidneys
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tremor — Feeling: Good · Diarrhea, Abdominal pain
    Free text: Last night I had cold tremors, but I don't think it was because of a fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea, Diarrhea
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Back pain, Chills, Cough, Fatigue, Myalgia, Pain in extremity, Sensation of foreign body — Feeling: Fair
    Free text: On March 16, I started with leg pains. I had chills. I had a cough and today I have pain in my muscles on the right leg. I have back pains and a dent in my throat, which causes me a cough and I feel very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-30
    Dose 2 — Moderna
  12. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  13. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Feeling cold, Headache, Pain in extremity, Palpitations, Renal pain, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free text: After I received the vaccine, I started with leg pains but as time went by, the pains increased my thighs increased my waist, she gave me kidney pain, the bottom of the belly, strong headaches, palpitations in the heart and feeling cold that didn't let me sleep ; the body temperature remained around 102 degrees Fahrenheit I
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Survey response — day 42, dose 2
    MedDRA: Back pain, Fatigue, Pain in extremity, Renal pain — Feeling: Good
    Free text: a lot of back pain in the kidneys and legs and very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Back pain near the kidneys

2021-03-06

Systemic reaction (other): Last night I had cold tremors, but I don't think it was because of a fever

Release 6 — day 21, dose 1

2021-03-23

Symptoms: On March 16, I started with leg pains. I had chills. I had a cough and today I have pain in my muscles on the right leg. I have back pains and a dent in my throat, which causes me a cough and I feel very tired

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): After I received the vaccine, I started with leg pains but as time went by, the pains increased my thighs increased my waist, she gave me kidney pain, the bottom of the belly, strong headaches, palpitations in the heart and feeling cold that didn't let me sleep ; the body temperature remained around 102 degrees Fahrenheit I

Release 8 — day 42, dose 2

2021-05-11

Symptoms: a lot of back pain in the kidneys and legs and very 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
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRenal pain ✓ ✓ ✓
SDSensation of foreign body ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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