4G2-24445-14810
5 vaccinations
10 coded responses
62 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 302 / GA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
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2021-01-25
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: Rash and itching around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-08
Dose 2 — Moderna
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2021-02-08
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Felt good this morning but tiredness,fatigue and some body ache started back after lunchMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
-
2022-05-11
Dose 4 — Moderna
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2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Brain fog, Injection site erythema, Injection site swelling, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activitiesFree text: For 2 days following the injection had low grade fever brain fog significant swelling and redness in arm where injection was given pain in both shouldersMedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Redness, itching and pain in tricep down to elbow in arm that I had injectionMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Redness has moved down arm back side of elbow and about 4"below elbow. Rash and itchy in this area.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Health check-in — day 7, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-05-25
Survey response — day 14, dose 4MedDRA: Joint swelling — Feeling: GoodFree text: Had swelling in left ankle and less in the right. Today all swelling is gone.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-08
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2022-06-15
Survey response — day 35, dose 4MedDRA: Brain fog, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: After I eat I get brain fog and muscle pain, manly my back rib cage area. Has happened before but not as often since vaccination.MedDRA releases: 2024-11 · check-in free text available
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2022-06-22
Survey response — day 42, dose 4MedDRA: Brain fog — Feeling: GoodFree text: Brain fog after I eat. Feel better last two days.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-10
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2022-10-04
Dose 5 — Moderna
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2022-10-05
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-06
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injection arm has pain and sorenessMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-11
Health check-in — day 7, dose 5Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
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2023-01-03
Survey response — 3 months, dose 5MedDRA: Influenza virus test negative, Lower respiratory tract infection, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-03
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-10-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Rash and itching around injection site.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Felt good this morning but tiredness,fatigue and some body ache started back after lunch
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): For 2 days following the injection had low grade fever brain fog significant swelling and redness in arm where injection was given pain in both shoulders
Systemic reaction (other): Redness, itching and pain in tricep down to elbow in arm that I had injection
Systemic reaction (other): Redness has moved down arm back side of elbow and about 4"below elbow. Rash and itchy in this area.
Release 11 — day 14, dose 4
Symptoms: Had swelling in left ankle and less in the right. Today all swelling is gone.
Release 12 — day 35, dose 4
Symptoms: After I eat I get brain fog and muscle pain, manly my back rib cage area. Has happened before but not as often since vaccination.
Release 12 — day 42, dose 4
Symptoms: Brain fog after I eat. Feel better last two days.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection arm has pain and soreness
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 | Brain fog | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release