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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

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-04-05
    Registered in v-safe
  3. 2021-04-05
    Survey response — day 21, dose 1
    MedDRA: Chills, Immunisation reaction, Injection site pain — Feeling: Good
    Free 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
  4. 2021-04-12
    Dose 2 — Moderna
  5. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vaccination site pain — Feeling: Fair · Site: Pain, Swelling · Fever · Be unable to do your normal daily activities
    Free 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
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Shingrix vax 1
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-10-11
    Survey response — 6 months, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Vaccinations: shingrix(2), flu. Shingrix caused mild symptoms very similar to Moderna. Flu, nothing.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-16
    Dose 3 — Moderna
  11. 2022-04-12
    Survey response — 12 months, dose 2
    MedDRA: Arteriosclerosis — Feeling: Good
    Free text: Mild plaque buildup in the carotid arteries.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-05-26
    Dose 4 — Moderna
  13. 2022-06-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  14. 2022-07-01
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-07-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna
32021-11-16Moderna No
42022-05-26Moderna No

Free text

Release 6 — day 21, dose 1

2021-04-05

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

2021-04-13

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

2021-07-13

Symptoms: Shingrix vax 1

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Vaccinations: shingrix(2), flu. Shingrix caused mild symptoms very similar to Moderna. Flu, nothing.

Release 11 — 12 months, dose 2

2022-04-12

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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction · · ✓
SDArteriosclerosis · · ✓
SDChills ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓

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