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4FK-88139-40044

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
322 / FL
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: After the injection yesterday in the evening I had a burning sensation in in my body it wasn't real strong but I had a burning sensation I don't have it today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain
    Free text: Sore throat today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Chills, Cold sweat, Cough — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Coughing no production chills cold sweats been going on for 4 days now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-29
    Dose 2 — Moderna
  14. 2021-04-29
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  18. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  20. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-05-06
    Survey response — day 7, dose 2
    MedDRA: Depression — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Depression, was not prepared for this it has hit me hard
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-13
    Survey response — day 14, dose 2
    MedDRA: Cold sweat, Decreased appetite, Feeding disorder, Hospitalisation, Insomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Cold sweats unable to eat unable to sleep this happened after the first injection I ended up in the hospital for 3 days I can't go to the hospital now because I have my dog and I don't have anybody to take care of her right now so I have to suffer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-20
    Survey response — day 21, dose 2
    MedDRA: Decreased appetite, Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headache, no appetit when I can eat something I will vomit, can't stand long periods or walk very far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-04-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-29Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): After the injection yesterday in the evening I had a burning sensation in in my body it wasn't real strong but I had a burning sensation I don't have it today

2021-03-31

Systemic reaction (other): Sore throat today

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Coughing no production chills cold sweats been going on for 4 days now

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Depression, was not prepared for this it has hit me hard

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Cold sweats unable to eat unable to sleep this happened after the first injection I ended up in the hospital for 3 days I can't go to the hospital now because I have my dog and I don't have anybody to take care of her right now so I have to suffer

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Headache, no appetit when I can eat something I will vomit, can't stand long periods or walk very far.

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
SDChills ✓ ✓ ✓
SDCold sweat ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDFeeding disorder · · ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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