42A-22257-84701
3 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 853 / AZ
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-03-31
Survey response — day 0, dose 1MedDRA: Pharyngeal swelling — Feeling: Good · Site: PainFree text: Minor swelling in throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Self-medication, Throat tightness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Mild sore throat and airway constriction, benedryl helps. symptom started almost immediately after getting the shot yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 1MedDRA: Renal pain — Feeling: GoodFree text: Mild kidney painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Hypertension — Feeling: GoodFree text: Diagnosed with high blood pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Dose 3 — Moderna
- 2022-02-22
-
2022-02-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-02-24
- 2022-02-25
- 2022-02-26
- 2022-02-27
- 2022-02-28
- 2022-03-01
- 2022-03-08
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2022-03-15
Survey response — day 21, dose 3MedDRA: Increased upper airway secretion, Paranasal sinus hypersecretion, Retching, Throat irritation, Vomiting — Feeling: FairFree text: Feels like there's a rough spot in my throat, between that and the sinuses that never stop running I feel like phlegm gets stuck in my throat at the irritated spot and causes me to gag, even vomited once.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-22
- 2022-03-29
- 2022-04-05
- 2022-05-24
-
2022-08-23
Survey response — 6 months, dose 3MedDRA: Eye swelling — Feeling: Good · Be unable to work or attend schoolFree text: Swelling in eyeMedDRA releases: 2024-11 · check-in free text available
- 2023-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2022-02-22 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Minor swelling in throat
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat and airway constriction, benedryl helps. symptom started almost immediately after getting the shot yesterday
Release 7 — day 14, dose 1
Symptoms: Mild kidney pain
Release 10 — 6 months, dose 2
Symptoms: Diagnosed with high blood pressure
Release 11 — day 21, dose 3
Symptoms: Feels like there's a rough spot in my throat, between that and the sinuses that never stop running I feel like phlegm gets stuck in my throat at the irritated spot and causes me to gag, even vomited once.
Release 12 — 6 months, dose 3
Symptoms: Swelling in eye
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 | Eye swelling | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Renal pain | ✓ | ✓ | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release