4K5-24861-43093
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
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2021-01-09
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Musculoskeletal stiffness — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: Stiff neck for the first hour after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain of skin — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: Skin and muscle hurt to touch down the arm of injection sites for under arm pitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Hyperaesthesia, Pain of skin, Skin discolouration, Tendon pain — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: All of the following symptoms are throughout the the arm of the injection: Pain in tendons ? Lighters colored patches, Sensitive skin , sore under the skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Tendon pain — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Pain and tightness in tendon near elbow....MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-23
- 2021-01-30
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2021-02-06
Survey response — day 28, dose 1MedDRA: Fatigue, Hyposmia, Malaise — Feeling: GoodFree text: Lessening sense of smell, Fatigue, minor feeling of oncoming sickness,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-20
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2021-02-25
Dose 2 — Moderna
- 2021-04-10
- 2021-04-10
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2021-05-29
Survey response — 3 months, dose 2MedDRA: Blood urine present, Brain fog — Feeling: GoodFree text: Blood in urine.Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-28
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Cough, Respiratory disorder, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Cough, slight breathing issues, congestion in early JanuaryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Stiff neck for the first hour after the shot
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Skin and muscle hurt to touch down the arm of injection sites for under arm pit
Systemic reaction (other): All of the following symptoms are throughout the the arm of the injection: Pain in tendons ? Lighters colored patches, Sensitive skin , sore under the skin
Systemic reaction (other): Pain and tightness in tendon near elbow....
Release 3 — day 28, dose 1
Symptoms: Lessening sense of smell, Fatigue, minor feeling of oncoming sickness,
Release 8 — 3 months, dose 2
Symptoms: Blood in urine.Brain fog
Release 11 — 12 months, dose 2
Symptoms: Cough, slight breathing issues, congestion in early January
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 | Blood urine present | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyposmia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Tendon pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release