342-15835-45118
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 011 / MA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Migraine — Feeling: Fair · Be unable to workFree text: Headache (migraine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 21, dose 1MedDRA: Diarrhoea, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headaches, nasal congestion, body aches, sore throat, diarrhea, and tiredness.No feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Dose 2 — Moderna
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Lightheaded, occasionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-15
- 2021-02-16
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2021-02-23
Survey response — day 14, dose 2MedDRA: Dizziness, Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: During last few mornings when awakening, arms and hands feeling numb and tingling. Also still experiencing some lightheaded episodes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 2MedDRA: Fatigue, Hypoaesthesia, Pain, Paraesthesia — Feeling: GoodFree text: Still experiencing fatigue and some body achesStill experiencing some tingling and numbness in the arms and hands upon awakening in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 28, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Upon awakening, mild tingling and numbness of hands and arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Headache (migraine)
Release 3 — day 21, dose 1
Symptoms: Headaches, nasal congestion, body aches, sore throat, diarrhea, and tiredness.No fever
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded, occasional
Release 4 — day 14, dose 2
Symptoms: During last few mornings when awakening, arms and hands feeling numb and tingling. Also still experiencing some lightheaded episodes.
Release 4 — day 21, dose 2
Symptoms: Still experiencing fatigue and some body achesStill experiencing some tingling and numbness in the arms and hands upon awakening in the morning
Release 5 — day 28, dose 2
Symptoms: Upon awakening, mild tingling and numbness of hands and arms.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release