493-28187-58733
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 207 / MD
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Yesterday, after I got my vaccine, I was feeling itchy on my whole body, but I didn't have hives or a rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: These symptoms are all from yesterday evening. I feel much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Influenza like illness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: General flu-like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-10
Survey response — day 14, dose 2MedDRA: Weight increased — Feeling: GoodFree text: Possible weight gain. Everything else is good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-10-26
Dose 3 — Moderna
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-29
-
2022-09-22
Dose 4 — Moderna
-
2022-09-23
Survey response — days 1–6 daily, dose 4MedDRA: Epistaxis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: First bloody nose in over 2 years. I have von willabrand disease, a bleeding disorderMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 4MedDRA: Epistaxis — Feeling: GoodFree text: Another bloody nose (second one in two years) which is abnormal.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday, after I got my vaccine, I was feeling itchy on my whole body, but I didn't have hives or a rash.
Systemic reaction (other): These symptoms are all from yesterday evening. I feel much better today.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): General flu-like symptoms
Release 8 — day 14, dose 2
Symptoms: Possible weight gain. Everything else is good.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): First bloody nose in over 2 years. I have von willabrand disease, a bleeding disorder
Systemic reaction (other): Another bloody nose (second one in two years) which is abnormal.
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 | Weight increased | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release