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3C6-36031-45975

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
895 / NV
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills
    Free text: Light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pre-existing disease — Feeling: Good
    Free text: When I cough or sneeze, I get a mild pain in my head. Also, I had COVID 6 months ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: The itching appears to jump around the body and lasts anywhere from 10-15 minutes to the area. There is also some rashes which have appeared on the body and round little bumps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I'm still having areas of itching around my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-26
    Dose 2 — Moderna
  13. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Dizziness — Feeling: Good
    Free text: A little lightheaded and some cough on occasion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Slight cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Light cough. Mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Cough. Mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Slight cough, mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Light headedness

2020-12-31

Systemic reaction (other): When I cough or sneeze, I get a mild pain in my head. Also, I had COVID 6 months ago

2021-01-03

Systemic reaction (other): The itching appears to jump around the body and lasts anywhere from 10-15 minutes to the area. There is also some rashes which have appeared on the body and round little bumps

2021-01-04

Systemic reaction (other): I'm still having areas of itching around my body

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): A little lightheaded and some cough on occasion

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Slight cough

2021-01-30

Systemic reaction (other): Light cough. Mild

2021-01-31

Systemic reaction (other): Cough. Mild

2021-02-01

Systemic reaction (other): Slight cough, mild

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
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash papular ○ ○ ○

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

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