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46N-12825-78671

4 vaccinations 6 coded responses 20 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
631 / MO
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Tightness in my chest similar to when I had COVID
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Good
    Free text: Slight tightness in my chest like I had when I had COVID
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Good
    Free text: Still some tightness in my chest when I breath deep or exercise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-11
    Dose 2 — Moderna
  9. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Good
    Free text: When exercising I do seem to get winded easier, but nothing significant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  12. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-08
    Survey response — day 28, dose 2
    MedDRA: Cough, Diarrhoea, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cough, runny nose, sneezing and head congestion. I do not believe it is related to COVID however. I do not have a fever but I do have some diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-09
    Dose 3 — Moderna
  18. 2022-09-14
    Dose 4 — Moderna
  19. 2022-09-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Light headed for a little over 24 hours
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-09-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-10-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-10-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna
32021-11-09Moderna No
42022-09-14Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Tightness in my chest similar to when I had COVID

2021-02-15

Systemic reaction (other): Slight tightness in my chest like I had when I had COVID

2021-02-17

Systemic reaction (other): Still some tightness in my chest when I breath deep or exercise

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): When exercising I do seem to get winded easier, but nothing significant

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Cough, runny nose, sneezing and head congestion. I do not believe it is related to COVID however. I do not have a fever but I do have some diarrhea.

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Light headed for a little over 24 hours

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
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODizziness · · ✓
SRODyspnoea exertional ✓ ✓ ✓

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

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