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374-22285-46116

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
26-30
ZIP prefix
194 / PA
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Registered in v-safe
  2. 2021-04-15
    Dose 1 — Moderna
  3. 2021-04-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: Pain at injection sight is lessening today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: All pain is almost completely gone. It's super minor now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-29
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Injection site pain — Feeling: Good
    Free text: Slight feeling very close to armpit which moved back to injection sight pain reemerging. Then has been good since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-13
    Dose 2 — Moderna
  14. 2021-05-13
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Mobility decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I had to work like this and it's been pretty bad. What's worse isn't the individual symptoms, but all of them hitting me at once, and it feels like at times it's getting worse. Also I have moderate brain fog and it's difficult to move around. This was far worse than the first shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  19. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-27
    Survey response — day 14, dose 2
    MedDRA: Decreased appetite, Malaise — Feeling: Good
    Free text: I noticed since the time I got sick for the 1 day, my appetite has decreased a little.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Urticaria — Feeling: Fair
    Free text: Unexplained hives for a few weeks now at least. I can't determine what is causing them, especially since my habits are mostly all the same. So anything has the possibility to be the cause of it, including these vaccines I had for COVID-19.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Pain at injection sight is lessening today.

2021-04-18

Systemic reaction (other): All pain is almost completely gone. It's super minor now.

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Slight feeling very close to armpit which moved back to injection sight pain reemerging. Then has been good since.

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): I had to work like this and it's been pretty bad. What's worse isn't the individual symptoms, but all of them hitting me at once, and it feels like at times it's getting worse. Also I have moderate brain fog and it's difficult to move around. This was far worse than the first shot.

Release 8 — day 14, dose 2

2021-05-27

Symptoms: I noticed since the time I got sick for the 1 day, my appetite has decreased a little.

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Unexplained hives for a few weeks now at least. I can't determine what is causing them, especially since my habits are mostly all the same. So anything has the possibility to be the cause of it, including these vaccines I had for COVID-19.

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
SDAxillary pain ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDUrticaria · · ✓
SROBrain fog ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROPain ✓ ✓ ✓

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