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
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2021-05-02
Registered in v-safe
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2021-05-02
Dose 1 — Moderna
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2021-05-02
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ive felt whoozyMedDRA 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 1MedDRA: 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 activitiesFree text: Chest pain/tighteningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: 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 activitiesAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-06
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2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-16
- 2021-05-23
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2021-05-28
Dose 2 — Moderna
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: On Saturday yesterday I had a fever of 102.7 F but didnt have access to this survey at the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body achesFree text: I stayed up late last night which no doubt contributed to thisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal painFree 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
- 2021-06-04
- 2021-06-11
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2021-06-18
Survey response — day 21, dose 2MedDRA: Urine analysis abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
- 2021-06-25
- 2021-07-11
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2021-11-20
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-02 | Moderna | |
| 2 | 2021-05-28 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Ive felt whoozy
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain/tightening
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): On Saturday yesterday I had a fever of 102.7 F but didnt have access to this survey at the time
Systemic reaction (other): I stayed up late last night which no doubt contributed to this
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Urine analysis abnormal | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release