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48N-11993-11431

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
21-25
ZIP prefix
735 / OK
Registered
2021-05-02
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-05-02
    Registered in v-safe
  2. 2021-05-02
    Dose 1 — Moderna
  3. 2021-05-02
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ive felt whoozy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Chest pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Chest pain/tightening
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  8. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  9. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-05-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-16
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-05-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-28
    Dose 2 — Moderna
  14. 2021-05-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: On Saturday yesterday I had a fever of 102.7 F but didnt have access to this survey at the time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches
    Free text: I stayed up late last night which no doubt contributed to this
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain
    Free text: Likely due to me since yesterday Ive been constantly moving and picking things up in my wheelchair.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-18
    Survey response — day 21, dose 2
    MedDRA: Urine analysis abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a urinary reroute surgery on the 16th June, 2021.It is the sole cause of my poor health at this moment as I recover.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-25
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-07-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-20
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-05-02Moderna
22021-05-28Moderna
32021-11-20Moderna No

Free text

Release 8 — day 0, dose 1

2021-05-02

Systemic reaction (other): Ive felt whoozy

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): Chest pain/tightening

Release 8 — days 1–6 daily, dose 2

2021-05-30

Systemic reaction (other): On Saturday yesterday I had a fever of 102.7 F but didnt have access to this survey at the time

2021-06-02

Systemic reaction (other): I stayed up late last night which no doubt contributed to this

2021-06-03

Systemic reaction (other): Likely due to me since yesterday Ive been constantly moving and picking things up in my wheelchair.

Release 9 — day 21, dose 2

2021-06-18

Symptoms: I had a urinary reroute surgery on the 16th June, 2021.It is the sole cause of my poor health at this moment as I recover.

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
SDUrine analysis abnormal ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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