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3X2-58736-08542

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
216 / MD
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Registered in v-safe
  2. 2021-02-05
    Dose 1 — Moderna
  3. 2021-02-05
    Survey response — day 0, dose 1
    MedDRA: Heart rate increased — Feeling: Good
    Free text: Mild increase in heart rate, but not concerning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-05
    Dose 2 — Moderna
  14. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eczema, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Did not see "rash" on the list earlier; have had various eczema-like rashes, mostly on arms and legs, since first shot. Got worse with second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  22. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-04
    Survey response — 3 months, dose 2
    MedDRA: Gingival recession, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Degradation/recession of gum line. · Healthcare visit (other): Dental appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-04
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Had an unidentified respiratory infection that cleared up with antibiotics but that may be now coming back. I used to never get sick, but now I'm sick every other month. Getting pretty tired of having a stunted immune system. Get rid of these masks.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-09-03
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-09-08

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-05

Systemic reaction (other): Mild increase in heart rate, but not concerning.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Did not see "rash" on the list earlier; have had various eczema-like rashes, mostly on arms and legs, since first shot. Got worse with second shot.

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Degradation/recession of gum line.
Healthcare visit (other): Dental appointment

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Had an unidentified respiratory infection that cleared up with antibiotics but that may be now coming back. I used to never get sick, but now I'm sick every other month. Getting pretty tired of having a stunted immune system. Get rid of these masks. cut off by CDC

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
HCVOOffice visit ✓ ✓ ✓
SDGingival recession ✓ ✓ ✓
SDRespiratory tract infection ✓ · ✓
SROEczema ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SRORash ✓ ✓ ✓

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

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