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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

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lacrimation increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Tearing from my eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-01
    Dose 2 — Moderna
  11. 2021-05-01
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: Very sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Arm pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-03
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Today I have pain in my arm but other than that don't have a headache and I feel pretty good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Joint pains
    Free text: Arm hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-22
    Survey response — day 21, dose 2
    MedDRA: Blindness, Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat lost voice can't get it back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-15
    Call successful
    Not applicable - Accidental Reporting
  24. 2022-05-01
    Survey response — 12 months, dose 2
    MedDRA: Malaise, Pyrexia — Feeling: Good
    Free 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 booster
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-05-01Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Tearing from my eyes

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Very sore arm

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Arm pain

2021-05-03

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

2021-05-05

Systemic reaction (other): Today I have pain in my arm but other than that don't have a headache and I feel pretty good

2021-05-07

Systemic reaction (other): Arm hurts

Release 8 — day 21, dose 2

2021-05-22

Symptoms: Sore throat lost voice can't get it back

Release 11 — 12 months, dose 2

2022-05-01

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBlindness ✓ ✓ ✓
SDMalaise · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia · · ✓
SROLacrimation increased ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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