539-24791-33320
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 640 / MO
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Registered in v-safe
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2021-03-16
Dose 1 — Moderna
- 2021-03-16
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Fair · Site: PainFree text: Area mildly sensitive to touch, not really painfull . Had, what I would call very mild psychedelic thing happen when I closed my eyes to go to sleep last night ?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Musculoskeletal discomfort — Feeling: Fair · Site: Pain · Headache, Abdominal painFree text: I didnt report headache the first day, because my neck is out of alignment and has been causing neck & headaches, but i have decided they are slightly worse since the shot .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: But as i said, my neck is out of alignment and causing ay least, some, of thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Nausea — Feeling: Fair · Headache, Nausea, DiarrheaFree text: These symptoms are not entirely unusual for me. I've had occasional nausea and diarrhea going on & off for a few months . Although it seems to lessening with the addition of yogurt to me diet .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-24
- 2021-03-31
- 2021-04-06
- 2021-04-13
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2021-04-14
Dose 2 — Moderna
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Abdominal painAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 21, dose 2MedDRA: Back pain, Musculoskeletal stiffness, Neck pain, Pain in extremity — Feeling: PoorFree text: Yes, my neck and my back are bothering me, it seems to be a traveling ache, and or stiffness, occasionaly in my left arm, then gone again, but I dont believe this is related to the vaccine, if you check my record, my neck was bothering me before .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 28, dose 2MedDRA: Joint stiffness, Muscular weakness, Musculoskeletal stiffness — Feeling: FairFree text: I keep having stifness and or weaknss in the elbow of my left arm, and kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-26
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Back pain — Feeling: FairFree text: I have a rather bad backache going on .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-15
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Area mildly sensitive to touch, not really painfull . Had, what I would call very mild psychedelic thing happen when I closed my eyes to go to sleep last night ?
Systemic reaction (other): I didnt report headache the first day, because my neck is out of alignment and has been causing neck & headaches, but i have decided they are slightly worse since the shot .
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): But as i said, my neck is out of alignment and causing ay least, some, of that
Systemic reaction (other): These symptoms are not entirely unusual for me. I've had occasional nausea and diarrhea going on & off for a few months . Although it seems to lessening with the addition of yogurt to me diet .
Release 8 — day 21, dose 2
Symptoms: Yes, my neck and my back are bothering me, it seems to be a traveling ache, and or stiffness, occasionaly in my left arm, then gone again, but I dont believe this is related to the vaccine, if you check my record, my neck was bothering me before . cut off by CDC
Release 8 — day 28, dose 2
Symptoms: I keep having stifness and or weaknss in the elbow of my left arm, and knees
Release 9 — 3 months, dose 2
Symptoms: I have a rather bad backache going on .
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release