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
-
2021-04-15
Registered in v-safe
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2021-04-15
Dose 1 — Moderna
- 2021-04-15
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Pain at injection sight is lessening today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree 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
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 1MedDRA: Axillary pain, Injection site pain — Feeling: GoodFree 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
- 2021-05-06
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2021-05-13
Dose 2 — Moderna
- 2021-05-13
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-05-16
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-05-18
- 2021-05-19
- 2021-05-20
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2021-05-27
Survey response — day 14, dose 2MedDRA: Decreased appetite, Malaise — Feeling: GoodFree 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
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-08-12
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2021-11-11
Survey response — 6 months, dose 2MedDRA: Urticaria — Feeling: FairFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at injection sight is lessening today.
Systemic reaction (other): All pain is almost completely gone. It's super minor now.
Release 8 — day 14, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release