48F-29152-62256
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 197 / DE
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-25
Registered in v-safe
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2021-03-25
Dose 1 — Moderna
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Lacrimation increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Tearing from my eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
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2021-05-01
Dose 2 — Moderna
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2021-05-01
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Very sore armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Office visit, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My arm feels like it's going to fall off it hurts very badly can hardly move it · Healthcare visit (other): My doctor they gave me the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Today I have pain in my arm but other than that don't have a headache and I feel pretty goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Joint painsFree text: Arm hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-19
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2021-05-22
Survey response — day 21, dose 2MedDRA: Blindness, Oropharyngeal pain — Feeling: FairFree text: Sore throat lost voice can't get it backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-10-30
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2022-04-15
Call successfulNot applicable - Accidental Reporting
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2022-05-01
Survey response — 12 months, dose 2MedDRA: Malaise, Pyrexia — Feeling: GoodFree text: Just had a fever afterwards 4 day or two felt like crap then it cleared right up not getting another booster at all I repeat I am not getting another boosterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tearing from my eyes
Release 8 — day 0, dose 2
Systemic reaction (other): Very sore arm
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm pain
Systemic reaction (other): My arm feels like it's going to fall off it hurts very badly can hardly move it
Healthcare visit (other): My doctor they gave me the shot
Systemic reaction (other): Today I have pain in my arm but other than that don't have a headache and I feel pretty good
Systemic reaction (other): Arm hurts
Release 8 — day 21, dose 2
Symptoms: Sore throat lost voice can't get it back
Release 11 — 12 months, dose 2
Symptoms: Just had a fever afterwards 4 day or two felt like crap then it cleared right up not getting another booster at all I repeat I am not getting another booster
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Blindness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release