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4LB-13862-33533

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
307 / GA
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Mobility decreased, Pain in extremity, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Excruciating pain in arm. Difficult to even .move arm.Corona cough came back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Survey response — day 7, dose 1
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose and congestion, and coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Analgesic drug level, Chills, Cough, Dizziness, Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Daily, mild, changing symptoms. Monday mild cough and chills. Tuesday, was fatigue, Wednesday was brain fog and fatigue, Thursday was dizziness, Today is headache. Acetaminophen works wonders. 1 pill is good for 3 to 6 hours. Usually, one is enough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-28
    Dose 2 — Moderna
  9. 2021-03-08
    Survey response — day 7, dose 2
    MedDRA: Feeling abnormal, Memory impairment — Feeling: Good · Chills, Fatigue or tiredness
    Free text: Some brain fog. Couldn't remember my niece's name. After much concentration it cane back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-28Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Excruciating pain in arm. Difficult to even .move arm.Corona cough came back.

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Runny nose and congestion, and coughing

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Daily, mild, changing symptoms. Monday mild cough and chills. Tuesday, was fatigue, Wednesday was brain fog and fatigue, Thursday was dizziness, Today is headache. Acetaminophen works wonders. 1 pill is good for 3 to 6 hours. Usually, one is enough. cut off by CDC

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Some brain fog. Couldn't remember my niece's name. After much concentration it cane back.

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

FieldPreferred term2021-092023-042024-11
SDAnalgesic drug level ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release