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3QW-13796-78411

3 vaccinations 12 coded responses 23 check-ins 12 free-text entries 0 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
301 / GA
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Survey response — day 0, dose 1
    MedDRA: Back pain — Feeling: Good · Fatigue or tiredness
    Free text: Lower Back Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain — Feeling: Good
    Free text: Just have a little pinch on my chest for the past 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-07
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea, Sneezing, Throat irritation — Feeling: Good · Site: Itching
    Free text: Sneezing a lot and itchy throat and runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Survey response — day 21, dose 1
    MedDRA: Chest pain, Cough, Oropharyngeal pain — Feeling: Poor · Be unable to work
    Free text: Chest pain Trouble breathing Sore throat Itchy throat Coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-30
    Dose 2 — Moderna
  15. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Hypoaesthesia, Immediate post-injection reaction — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Face numb for 30 minutes after 2nd dose of Moderna and Chest pain after 20 minutes of 2nd dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Limb mass — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: A lump on my left shoulder the day after the 2nd dose of Moderna
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-07
    Survey response — day 7, dose 2
    MedDRA: Cough — Feeling: Fair · Site: Swelling · Chills, Headache
    Free text: Coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-14
    Survey response — day 14, dose 2
    MedDRA: Chest pain, Cough, Dyspnoea, Fatigue, Sneezing, Throat irritation — Feeling: Poor · Be unable to work
    Free text: Chest pain, coughing a lot, itchy throat, sneezing a lot, difficult breathing, shortness of breath, tired, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-21
    Survey response — day 21, dose 2
    MedDRA: Headache, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · Be unable to work
    Free text: Headache, joints pain, sneezing, runny nose, itchy throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-15
    Survey response — day 42, dose 2
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Knee pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-03-15
    Dose 3 — Moderna
  25. 2022-04-30
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: I am allergic to pollen
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-04-30
    Survey response — day 42, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: I am allergic to pollen
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-06-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-30Moderna
32022-03-15Moderna No

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Lower Back Pain

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Just have a little pinch on my chest for the past 3 days

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Sneezing a lot and itchy throat and runny nose

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Chest pain Trouble breathing Sore throat Itchy throat Coughing

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Face numb for 30 minutes after 2nd dose of Moderna and Chest pain after 20 minutes of 2nd dose

2021-05-06

Systemic reaction (other): A lump on my left shoulder the day after the 2nd dose of Moderna

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Coughing

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Chest pain, coughing a lot, itchy throat, sneezing a lot, difficult breathing, shortness of breath, tired, fatigue

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Headache, joints pain, sneezing, runny nose, itchy throat

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Knee pain

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: I am allergic to pollen

Release 11 — day 42, dose 3

2022-04-30

Symptoms: I am allergic to pollen

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
SDArthralgia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLimb mass ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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

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