4H6-13307-27024
3 vaccinations
10 coded responses
37 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
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2021-03-20
Survey response — day 0, dose 1MedDRA: Pain — Feeling: Good · Site: SwellingFree text: Sore feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · HeadacheFree text: Sore arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Slight soreness at injection site, better than the prior day. On a scale of 1 -10 for pain, its a 1 today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Itching · Headache, DiarrheaFree text: Split second tinitus? Not sure what thats about.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Itchy hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
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2021-04-17
Dose 2 — Moderna
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint painsFree text: Right hip painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-04-23
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2021-04-24
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: Fair · Headache, Joint painsFree text: ItchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-10
- 2021-05-15
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2021-05-22
Survey response — day 35, dose 2MedDRA: Headache — Feeling: FairFree text: Minor headaches now and then could be high bp just thought I'd mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-07-17
- 2021-10-18
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2021-10-28
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: FairFree text: SoreMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia — Feeling: Fair · Fatigue or tirednessFree text: I can tell you I felt like I had zero energy the first two days after the booster. I assume that has to do with the 5g and microchips updating my DNA (that's a joke)( and to be honest if the vaccine was meant to kill us I'd rather die tbh)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Sore feeling
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at injection site
Systemic reaction (other): Slight soreness at injection site, better than the prior day. On a scale of 1 -10 for pain, its a 1 today.
Systemic reaction (other): Split second tinitus? Not sure what thats about.
Release 6 — day 7, dose 1
Systemic reaction (other): Itchy hands.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Right hip pain
Release 7 — day 7, dose 2
Systemic reaction (other): Itchy
Release 8 — day 35, dose 2
Symptoms: Minor headaches now and then could be high bp just thought I'd mention it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore
Systemic reaction (other): I can tell you I felt like I had zero energy the first two days after the booster. I assume that has to do with the 5g and microchips updating my DNA (that's a joke)( and to be honest if the vaccine was meant to kill us I'd rather die tbh)
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release