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4QT-27429-77584

4 vaccinations 10 coded responses 20 check-ins 10 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
277 / NC
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-04-16
    Registered in v-safe
  3. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Influenza like illness — Feeling: Good · Muscle or body aches
    Free text: Ever so slightly flu onset-ish.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Some pain at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Feeling just fine, thank you
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-29
    Survey response — day 14, dose 1
    MedDRA: Constipation — Feeling: Good
    Free text: Constipation. Probably ate too much Swiss cheese. Yum.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-13
    Dose 2 — Moderna
  11. 2021-05-13
    Survey response — day 0, dose 2
    MedDRA: Somnolence — Feeling: Good
    Free text: Sleepy, not fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Some injection site soreness, nothing grave
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Chills, Fatigue or tiredness
    Free text: Brief episode of chills, could be house temp, weather is unseasonably cold for May
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: I have some itching normally but my usual palliative measures are not working so I think it must be the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Diarrhea
    Free text: Probably diet related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-20
    Survey response — day 7, dose 2
    MedDRA: Gastrointestinal pain — Feeling: Good · Abdominal pain
    Free text: Extremely slight gut pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-18
    Dose 3 — Moderna
  25. 2022-04-28
    Dose 4 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna
32021-11-18Moderna No
42022-04-28Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Ever so slightly flu onset-ish.

2021-04-17

Systemic reaction (other): Some pain at injection site

2021-04-20

Systemic reaction (other): Feeling just fine, thank you

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Constipation. Probably ate too much Swiss cheese. Yum.

Release 8 — day 0, dose 2

2021-05-13

Systemic reaction (other): Sleepy, not fatigued

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Some injection site soreness, nothing grave

2021-05-15

Systemic reaction (other): Brief episode of chills, could be house temp, weather is unseasonably cold for May

2021-05-16

Systemic reaction (other): I have some itching normally but my usual palliative measures are not working so I think it must be the vaccine

2021-05-17

Systemic reaction (other): Probably diet related

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): Extremely slight gut pain

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
SDConstipation ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROGastrointestinal pain ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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