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
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
- 2021-03-03
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Fatigue or tiredness, NauseaFree text: Back pain near the kidneysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Good · Diarrhea, Abdominal painFree text: Last night I had cold tremors, but I don't think it was because of a feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
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2021-03-23
Survey response — day 21, dose 1MedDRA: Back pain, Chills, Cough, Fatigue, Myalgia, Pain in extremity, Sensation of foreign body — Feeling: FairFree 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 tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: 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 workFree 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 IMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-15
- 2021-04-20
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — day 42, dose 2MedDRA: Back pain, Fatigue, Pain in extremity, Renal pain — Feeling: GoodFree text: a lot of back pain in the kidneys and legs and very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Back pain near the kidneys
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Renal pain | ✓ | ✓ | ✓ |
| SD | Sensation of foreign body | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release