4MM-16205-83632
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 210 / MD
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Malaise — Feeling: Good · Site: PainFree text: Felt sick yesterday, but better today. Although a little tired at first today, now fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: A little fogginessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: COVID-19, Paraesthesia, Peripheral coldness, White blood cell count increased — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Very cold left hand with tingling . Visited Care First. Diagnosed very high white cell count. Thinks its attributable to getting cortisone shot shortly after Covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Hypoaesthesia, Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Loss of balance. Tingling and loss of feeling in one hand. Perhaps a reaction to separate injection of cortisone shortly after last Covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Felt sick yesterday, but better today. Although a little tired at first today, now fine.
Systemic reaction (other): A little fogginess
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Very cold left hand with tingling . Visited Care First. Diagnosed very high white cell count. Thinks its attributable to getting cortisone shot shortly after Covid shot.
Systemic reaction (other): Loss of balance. Tingling and loss of feeling in one hand. Perhaps a reaction to separate injection of cortisone shortly after last Covid shot.
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 |
|---|---|---|---|---|
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | White blood cell count increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release