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532-17785-94026

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
21-25
ZIP prefix
064 / CT
Registered
2020-12-22
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2020-12-22
    Registered in v-safe
  2. 2020-12-22
    Dose 1 — Moderna
  3. 2020-12-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling cold, Impaired work ability, Pain, Pyrexia — Feeling: Good · Site: Pain
    Free text: Around twelve hours after receiving the vaccine i became slightly dizzy. When i attempted to go to sleep I became very cold and had body aches. The next morning, I had a low grade fever of 100.3, with the continuing body aches, which led me to miss work that day. On the second morning after receiving the vaccine my fever had subsided with lingering body aches. By the third morning after receiving the vaccine all symptoms experienced were gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Survey response — day 21, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-21
    Dose 2 — Moderna
  8. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Moderna
22021-01-21Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Around twelve hours after receiving the vaccine i became slightly dizzy. When i attempted to go to sleep I became very cold and had body aches. The next morning, I had a low grade fever of 100.3, with the continuing body aches, which led me to miss work that day. On the second morning after receiving the vaccine my fever had subsided with lingering body aches. By the third morning after receiving the vaccine all symptoms experienced were gone.

Release 2 — day 21, dose 1

2021-01-14

Symptoms: None

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
SDNo adverse event ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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