4CG-26048-81968
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
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2021-02-13
Registered in v-safe
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2021-02-13
Survey response — day 7, dose 1MedDRA: Rash pruritic — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Incessant itching/ minor rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
- 2021-02-26
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2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Very slight sore arm at point of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore under shoulder I got the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No. I feel great! No adverse symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Iv been working out at the gym and have had absolutely NO problems other than some kinda sore lymph nodes under the arm that I got vaccinated on. That was only for a day. Its now been a week since the vaccination and no problems for five days now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — day 7, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Had some minor lymph node pain under left are, the one I got the vaccination in. On a scale of one to ten, its a two.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
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2021-07-21
Call successfulDoes not wish to fill out VAERS report
- 2021-09-03
- 2022-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Healthcare visit (other): Incessant itching/ minor rash.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very slight sore arm at point of injection.
Systemic reaction (other): Sore under shoulder I got the vaccination
Systemic reaction (other): No
Systemic reaction (other): No. I feel great! No adverse symptoms.
Systemic reaction (other): Iv been working out at the gym and have had absolutely NO problems other than some kinda sore lymph nodes under the arm that I got vaccinated on. That was only for a day. Its now been a week since the vaccination and no problems for five days now.
Release 5 — day 7, dose 2
Systemic reaction (other): Had some minor lymph node pain under left are, the one I got the vaccination in. On a scale of one to ten, its a two.
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 |
|---|---|---|---|---|
| HCVO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release