43P-42538-91016
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 949 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-11
-
2021-02-17
Survey response — day 21, dose 1MedDRA: Fatigue, Headache — Feeling: FairFree text: Headache and tired for a few hours one morning 2 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 28, dose 1MedDRA: Abdominal pain, Gastrooesophageal reflux disease, Insomnia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Abdominal pain likely reflux intermittently for several days, two nights of difficulty sleeping because of pain. Uncertain if related to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 35, dose 2MedDRA: Asthenia, Exercise tolerance decreased — Feeling: GoodFree text: Lower overall energy in the last 1 week and not as strong when exercisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-05-27
- 2021-08-28
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Asthenia, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Looking back, I have been weak and painful for about 8 weeks that started just prior to booster that not sure if unrelated or the booster exacerbated. Finally doing better about 5 weeks after vaccinationMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 4 — day 21, dose 1
Symptoms: Headache and tired for a few hours one morning 2 days ago
Release 4 — day 28, dose 1
Symptoms: Abdominal pain likely reflux intermittently for several days, two nights of difficulty sleeping because of pain. Uncertain if related to vaccine
Release 6 — day 35, dose 2
Symptoms: Lower overall energy in the last 1 week and not as strong when exercising
Release 11 — 12 months, dose 2
Symptoms: Looking back, I have been weak and painful for about 8 weeks that started just prior to booster that not sure if unrelated or the booster exacerbated. Finally doing better about 5 weeks after vaccination
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release