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49M-28374-10966

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
989 / WA
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: If I press on the injection site it feels like pushing on a bruise. Not exactly what I consider pain just like a one inch bruise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-09
    Dose 2 — Moderna
  10. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Nausea, Pain, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Headache
    Free text: I put no symptoms today but the night of and all the next day I had a 102+ fever, severe chills, headache, nausea, arm and body pain. About 30 hours after shot I took two aspirin then in half an hour I took two Tylenol. In about an hour my fever broke pains and all other symptoms went away in a few hours and today I am 100% normal again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-02-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): If I press on the injection site it feels like pushing on a bruise. Not exactly what I consider pain just like a one inch bruise.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): I put no symptoms today but the night of and all the next day I had a 102+ fever, severe chills, headache, nausea, arm and body pain. About 30 hours after shot I took two aspirin then in half an hour I took two Tylenol. In about an hour my fever broke pains and all other symptoms went away in a few hours and today I am 100% normal again.

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
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site bruising ○ ○ ○
SROInjection site pain ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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