3QY-11266-91927
4 vaccinations
8 coded responses
40 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 454 / OH
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Moderna
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2021-03-10
Survey response — day 0, dose 1MedDRA: Fatigue, Headache — Feeling: Good · Headache, Fatigue or tirednessFree text: Just a slight headache and tired. Just took a nap. Feel good now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain, Self-medication — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body achesFree text: Started slight chill and aches about 8 last night. Took 2 Tylenol about 9 and went to bed. Felt good today except for arm ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain in extremity, Sluggishness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Left arm just slightly sore. Where the injection was. Got up this morning and felt good tho. First two days were sluggish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
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2021-04-07
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slight fatigue. Took about a 2 hour nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — day 7, dose 2MedDRA: Rash, Rash pruritic — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Slight rash on both legs. Started yesterday. Itchy. Using a lotion helps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
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2021-07-07
Survey response — 3 months, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic, Self-medication — Feeling: GoodFree text: Rash on legs never went away. Last week it was very bad. Extremely red and itched a lot. Has cleared up some. Used a cortisone ctream with aloe. Help a lot.BobMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-06
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2021-12-11
Dose 3 — Moderna
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2022-04-08
Survey response — 12 months, dose 2MedDRA: Office visit, Rash — Feeling: GoodFree text: Rash on legs and now to arms. Have cream from doctor visit at the VA.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Dose 4 — Moderna
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-30
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2022-10-28
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid in August.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Just a slight headache and tired. Just took a nap. Feel good now.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Started slight chill and aches about 8 last night. Took 2 Tylenol about 9 and went to bed. Felt good today except for arm ache.
Systemic reaction (other): Left arm just slightly sore. Where the injection was. Got up this morning and felt good tho. First two days were sluggish.
Release 7 — day 0, dose 2
Systemic reaction (other): Slight fatigue. Took about a 2 hour nap.
Release 7 — day 7, dose 2
Systemic reaction (other): Slight rash on both legs. Started yesterday. Itchy. Using a lotion helps.
Release 9 — 3 months, dose 2
Symptoms: Rash on legs never went away. Last week it was very bad. Extremely red and itched a lot. Has cleared up some. Used a cortisone ctream with aloe. Help a lot.Bob
Release 11 — 12 months, dose 2
Symptoms: Rash on legs and now to arms. Have cream from doctor visit at the VA.
Release 12 — 6 months, dose 4
Symptoms: Covid in August.
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 | COVID-19 | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release