3E5-17923-54234
4 vaccinations
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 326 / FL
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Moderna
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2021-04-05
Registered in v-safe
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2021-04-05
Survey response — day 21, dose 1MedDRA: Chills, Immunisation reaction, Injection site pain — Feeling: GoodFree text: Day 2 Soreness in muscle site of vac, lasted to Day 6. Then on Day 8 developed so-called Moderna Arm, which resolved a week later. Then I had two nights of intense chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Dose 2 — Moderna
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Vaccination site pain — Feeling: Fair · Site: Pain, Swelling · Fever · Be unable to do your normal daily activitiesFree text: Pain at the vax site, same location as first one. dose.rst shot, but a little worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
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2021-07-13
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Shingrix vax 1MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: Vaccinations: shingrix(2), flu. Shingrix caused mild symptoms very similar to Moderna. Flu, nothing.MedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Dose 3 — Moderna
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2022-04-12
Survey response — 12 months, dose 2MedDRA: Arteriosclerosis — Feeling: GoodFree text: Mild plaque buildup in the carotid arteries.MedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Dose 4 — Moderna
- 2022-06-26
- 2022-07-01
- 2022-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-05-26 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Day 2 Soreness in muscle site of vac, lasted to Day 6. Then on Day 8 developed so-called Moderna Arm, which resolved a week later. Then I had two nights of intense chills.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Pain at the vax site, same location as first one. dose.rst shot, but a little worse.
Release 9 — 3 months, dose 2
Symptoms: Shingrix vax 1
Release 10 — 6 months, dose 2
Symptoms: Vaccinations: shingrix(2), flu. Shingrix caused mild symptoms very similar to Moderna. Flu, nothing.
Release 11 — 12 months, dose 2
Symptoms: Mild plaque buildup in the carotid arteries.
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 | Adverse reaction | · | · | ✓ |
| SD | Arteriosclerosis | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release