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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

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free text: Incessant itching/ minor rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-05
    Dose 2 — Moderna
  8. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Very slight sore arm at point of injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore under shoulder I got the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No. I feel great! No adverse symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good
    Free 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
  15. 2021-03-14
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain — Feeling: Good
    Free 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
  16. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-21
    Call successful
    Does not wish to fill out VAERS report
  19. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-03-07
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-13

Healthcare visit (other): Incessant itching/ minor rash.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Very slight sore arm at point of injection.

2021-03-07

Systemic reaction (other): Sore under shoulder I got the vaccination

2021-03-09

Systemic reaction (other): No

2021-03-10

Systemic reaction (other): No. I feel great! No adverse symptoms.

2021-03-11

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

2021-03-14

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

FieldPreferred term2021-092023-042024-11
HCVORash pruritic ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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