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4WM-27129-71787

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
775 / TX
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Dose 2 — Moderna
  4. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: No appetite. I ate but mainly low carb bread
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site hypersensitivity, Injection site warmth, Self-medication — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness
    Free text: I took 30mg of Tylenol last night. I felt much better mostvif the day. Temp was 98.1 this morning. The warm feeling started around 5 pm. Injection site is a little sensitive and geels warmer than the opposite arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Mild soreness/sensitive at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Myocardial infarction, Vascular graft — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a heart attack and bypass surgery 4 months ago, not related to COVID. I since had the FULL Moderna third booster. I am doing great.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): No appetite. I ate but mainly low carb bread

2021-02-06

Systemic reaction (other): I took 30mg of Tylenol last night. I felt much better mostvif the day. Temp was 98.1 this morning. The warm feeling started around 5 pm. Injection site is a little sensitive and geels warmer than the opposite arm.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Mild soreness/sensitive at injection site.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: I had a heart attack and bypass surgery 4 months ago, not related to COVID. I since had the FULL Moderna third booster. I am doing great.

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
SDMyocardial infarction · · ✓
SDVascular graft · · ✓
SRODecreased appetite ✓ ✓ ✓
SROInjection site hypersensitivity ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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