38W-29058-20065
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 068 / CT
- Registered
- 2021-05-20
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-05-18
Dose 1 — Moderna
-
2021-05-20
Registered in v-safe
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2021-05-20
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Headache, Lethargy, Nausea, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheFree text: While today, my symptoms have subsided, I had severe symptoms the evening of and a full day and night following my vaccination. General weakness, feverish feeling, nausea at times, lethargy, and severe headache especially.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-05-22
- 2021-05-24
- 2021-05-25
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2021-06-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Itch and redness at site of injection. Has since resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
-
2021-06-15
Dose 2 — Moderna
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2021-06-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-16
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: After taking 1 500mg tablet of acetaminophen, fever was reduced, eventually to normal. The description of symptoms is at their worst in the past 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-06-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
- 2021-06-19
- 2021-06-21
- 2021-06-29
- 2021-07-06
- 2021-07-18
- 2021-07-29
- 2021-09-14
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2021-12-14
Survey response — 6 months, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Itching. Not necessarily related.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Moderna | |
| 2 | 2021-06-15 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): While today, my symptoms have subsided, I had severe symptoms the evening of and a full day and night following my vaccination. General weakness, feverish feeling, nausea at times, lethargy, and severe headache especially.
Release 8 — day 14, dose 1
Symptoms: Itch and redness at site of injection. Has since resolved.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): After taking 1 500mg tablet of acetaminophen, fever was reduced, eventually to normal. The description of symptoms is at their worst in the past 24 hours.
Release 10 — 6 months, dose 2
Symptoms: Itching. Not necessarily related.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release