4HH-78349-30454
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 457 / OH
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My right shoulder very sore,finger joints hurts,neck mussells hurt on both sidesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-17
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Inching comes one day the next day nothing then comes back again, iam not sure what to exspeck from this 2nd shot and if this is going to a problem all of the time? If you all have answers i sure would like to knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — day 7, dose 1MedDRA: Haemorrhage, Injection site haemorrhage, Injection site pruritus, Pruritus — Feeling: Good · Site: ItchingFree text: Where shot was given that area itches, the hole where needle went in has not healed, bleedsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-03-07
Survey response — day 21, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Rash around injection site, used anti byatic sauve slowly went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Survey response — 3 months, dose 1MedDRA: Adverse reaction, Erythema — Feeling: GoodFree text: Breaking out on my arms, back, chest, real small pipples that turn redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My right shoulder very sore,finger joints hurts,neck mussells hurt on both sides
Systemic reaction (other): Inching comes one day the next day nothing then comes back again, iam not sure what to exspeck from this 2nd shot and if this is going to a problem all of the time? If you all have answers i sure would like to know
Release 4 — day 7, dose 1
Systemic reaction (other): Where shot was given that area itches, the hole where needle went in has not healed, bleeds
Release 5 — day 21, dose 1
Symptoms: Rash around injection site, used anti byatic sauve slowly went away
Release 8 — 3 months, dose 1
Symptoms: Breaking out on my arms, back, chest, real small pipples that turn red
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Haemorrhage | ○ | ✓ | ○ |
| SRO | Injection site haemorrhage | ✓ | · | ✓ |
| SRO | Injection site pruritus | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release