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
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Feeling cold, Impaired work ability, Pain, Pyrexia — Feeling: Good · Site: PainFree 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
- 2020-12-31
-
2021-01-14
Survey response — day 21, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Dose 2 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | No adverse event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release