4PR-50409-54201
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 958 / CA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-25
Dose 1 — Moderna
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2021-02-23
Registered in v-safe
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Notice a red mark that showed up on my hand that might be a rash? Looks more like a burn, but I didnt burn myself or anything.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
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2021-03-16
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Increased random headaches. I never really used to get them as often as every other day to every day. Not sure if its related or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 28, dose 2MedDRA: Headache — Feeling: GoodFree text: Random headaches pop up that havent happened before. Its frequent now. In fact I just had one come on 10 minutes ago. They typically last an hour or two. Ive never had frequent headaches, and noticed they frequently show up since the vaccinaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-08-24
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Notice a red mark that showed up on my hand that might be a rash? Looks more like a burn, but I didnt burn myself or anything.
Release 5 — day 21, dose 2
Symptoms: Increased random headaches. I never really used to get them as often as every other day to every day. Not sure if its related or not.
Release 6 — day 28, dose 2
Symptoms: Random headaches pop up that havent happened before. Its frequent now. In fact I just had one come on 10 minutes ago. They typically last an hour or two. Ive never had frequent headaches, and noticed they frequently show up since the vaccina
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release