4L8-25204-54154
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 089 / NJ
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Moderna
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin, Skin sensitisation — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sensitivity of hair follicles on skin all over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-10
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Abdominal pain is likely hernia related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-15
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2021-04-21
Survey response — day 14, dose 1MedDRA: Injection site bruising, Injection site hypersensitivity, Injection site pain, Injection site reaction, Injection site warmth — Feeling: GoodFree text: Right when the shot site started to lightly bruise, the skin over the muscle inferior to where I had the shot was warm to the touch and overly sensitive for about 2-3 days. Not quite a rash, but it has since resolved completely.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 21, dose 1MedDRA: Neuropathy peripheral — Feeling: GoodFree text: I'm currently experiencing neuropathy in my right foot, similar to what I had experienced in my hands when I had CoVID back in March of 2020. It started two days ago, and is now starting to get better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Dose 2 — Moderna
- 2021-05-05
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains · Be unable to workAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
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2021-05-19
Survey response — day 14, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I came down with a head cold. :-P Certainly not CoVID symptoms, so I am fairly certain that this is not vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
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2021-11-03
Survey response — 6 months, dose 2MedDRA: COVID-19, Disturbance in attention, Mental impairment, Mobility decreased, Speech disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I caught Delta. Lasted about a week. Since then my Cardio Fitness readings (VO2max, measured by watch) took a dip from 35 to 30 and are just now back to normal levels. I was having trouble thinking, multi-tasking, speaking clearly, & w/stairs.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sensitivity of hair follicles on skin all over.
Systemic reaction (other): Abdominal pain is likely hernia related.
Release 7 — day 14, dose 1
Symptoms: Right when the shot site started to lightly bruise, the skin over the muscle inferior to where I had the shot was warm to the touch and overly sensitive for about 2-3 days. Not quite a rash, but it has since resolved completely.
Release 8 — day 21, dose 1
Symptoms: I'm currently experiencing neuropathy in my right foot, similar to what I had experienced in my hands when I had CoVID back in March of 2020. It started two days ago, and is now starting to get better.
Release 8 — day 14, dose 2
Symptoms: I came down with a head cold. :-P Certainly not CoVID symptoms, so I am fairly certain that this is not vaccine related.
Release 10 — 6 months, dose 2
Symptoms: I caught Delta. Lasted about a week. Since then my Cardio Fitness readings (VO2max, measured by watch) took a dip from 35 to 30 and are just now back to normal levels. I was having trouble thinking, multi-tasking, speaking clearly, & w/stairs.
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 | COVID-19 | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site hypersensitivity | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ○ |
| SD | Injection site reaction | ✓ | ✓ | ○ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Mental impairment | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Skin sensitisation | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release