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47X-12644-63657

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
633 / MO
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Registered in v-safe
  2. 2021-04-15
    Dose 1 — Moderna
  3. 2021-04-15
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Adult check-in
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  6. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I wish to see my parents.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-13
    Dose 2 — Moderna
  11. 2021-05-13
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: My old surgery knee hurt bad enough to put on a brace.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Still wearing knee brace on old surgery knee, also using crutches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Fever · Joint pains · Be unable to do your normal daily activities
    Free text: Still wearing knee brace on old surgery knee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: Old surgery knee still bothersome.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Knee pain is abating, but still bothersome.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  18. 2021-05-22
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  19. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-03
    Survey response — day 21, dose 2
    MedDRA: Post procedural complication — Feeling: Fair
    Free text: Still having trouble with old surgery knee. Wearing a brace when out of the house. Im retired, so the work question is not relevant.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2022-05-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): I wish to see my parents.

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): My old surgery knee hurt bad enough to put on a brace.

2021-05-15

Systemic reaction (other): Still wearing knee brace on old surgery knee, also using crutches.

2021-05-16

Systemic reaction (other): Still wearing knee brace on old surgery knee

2021-05-17

Systemic reaction (other): Old surgery knee still bothersome.

2021-05-18

Systemic reaction (other): Knee pain is abating, but still bothersome.

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Still having trouble with old surgery knee. Wearing a brace when out of the house. Im retired, so the work question is not relevant.

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
SDPost procedural complication ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ · ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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