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4ZR-71854-30606

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
458 / OH
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: My fever broke sometime early AM before I woke
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: Developed rash in both legs from calf to ankles all the way around but no swelling or itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: Lower leg rash both legs as stated yesterday. No change...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Site: Redness
    Free text: Still have a rash that hasnt subsided at all on both lower legs....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Rash in both legs as previously stated with NO improvement!!?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Rash on lower legs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Dose 2 — Moderna
  13. 2021-04-01
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Its too early after shot..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: The fever and chills were last night, 9 hours after the shot. Today is all of the aches and pains. I had the exact same reaction with first shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): My fever broke sometime early AM before I woke

2021-03-06

Systemic reaction (other): No

2021-03-07

Systemic reaction (other): Developed rash in both legs from calf to ankles all the way around but no swelling or itching

2021-03-08

Systemic reaction (other): Lower leg rash both legs as stated yesterday. No change...

2021-03-09

Systemic reaction (other): Still have a rash that hasnt subsided at all on both lower legs....

2021-03-10

Systemic reaction (other): Rash in both legs as previously stated with NO improvement!!?

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Rash on lower legs.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Its too early after shot..

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): The fever and chills were last night, 9 hours after the shot. Today is all of the aches and pains. I had the exact same reaction with first 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

FieldPreferred term2021-092023-042024-11
SROChills ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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