3K8-84030-18550
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-16
Registered in v-safe
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2021-03-16
Dose 1 — Moderna
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2021-03-16
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
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2021-03-30
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: A rash has developed that is quite large (about 8 diameter). Unsure if its a result of the vaccine or something else.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 21, dose 1MedDRA: Rash, Rash pruritic, Skin burning sensation — Feeling: Fair · Be unable to workFree text: I have a massive rash on my back and buttocks. It could be poison oak, but Im not 100% sure. Its super m-itchy and burns.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fever · Headache, Muscle or body aches, NauseaAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Headache, Nausea, Abdominal painAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
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2022-04-13
Survey response — 12 months, dose 2MedDRA: Exposure to SARS-CoV-2, Influenza, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: I caught a cold/flu bug a months ago. Have since recovered. Tested negative for Covid on two tests. But 2 immediate family members caught Covid in January. l tested positive but had no symptoms. Same with a fourth family member.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: A rash has developed that is quite large (about 8 diameter). Unsure if its a result of the vaccine or something else.
Release 7 — day 21, dose 1
Symptoms: I have a massive rash on my back and buttocks. It could be poison oak, but Im not 100% sure. Its super m-itchy and burns.
Release 11 — 12 months, dose 2
Symptoms: I caught a cold/flu bug a months ago. Have since recovered. Tested negative for Covid on two tests. But 2 immediate family members caught Covid in January. l tested positive but had no symptoms. Same with a fourth family member.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release