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3GT-87562-07391

4 vaccinations 9 coded responses 39 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
120 / NY
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Soreness at injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Soreness. Mild at injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Hot flush, Nausea — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Feeling flushed (hot flashes) and slightly nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good
    Free text: Soreness has gone away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Dose 2 — Moderna
  14. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Went for an 8 mile bike ride and 4 mile walk.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Malaise, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Last year I was very sick twice and really believe I had COVID. Today some of the symptoms are similar. Fatigue, malaise, aches, fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good
    Free text: Yesterday I felt like a truck hit me. Today I took a 28 mile bike ride
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Been riding my bike 7-12 miles for 4 days despite fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-21
    Dose 3 — Moderna
  29. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-09-21
    Dose 4 — Moderna
  31. 2022-09-21
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  33. 2022-09-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: Felt great. Biked 15 miles. Walked 5 miles.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  35. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  36. 2022-09-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  38. 2022-10-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-10-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-11-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-12-23
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-03-24
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-12-21Moderna No
42022-09-21Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Soreness at injection

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Soreness. Mild at injection

2021-03-14

Systemic reaction (other): Feeling flushed (hot flashes) and slightly nausea

2021-03-15

Systemic reaction (other): Soreness has gone away

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Went for an 8 mile bike ride and 4 mile walk.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Last year I was very sick twice and really believe I had COVID. Today some of the symptoms are similar. Fatigue, malaise, aches, fever.

2021-04-10

Systemic reaction (other): Yesterday I felt like a truck hit me. Today I took a 28 mile bike ride

2021-04-14

Systemic reaction (other): Been riding my bike 7-12 miles for 4 days despite fatigue.

Release 12 — days 1–6 daily, dose 4

2022-09-23

Systemic reaction (other): Felt great. Biked 15 miles. Walked 5 miles.

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
SROFatigue ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event · · ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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