54X-20747-42165
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 922 / CA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-18
Dose 2 — Moderna
-
2021-02-19
Registered in v-safe
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Injection site pain, Injection site swelling, Nausea — Feeling: Good · NauseaFree text: I havent checked in regularly over the last few days, But the way Im feeling today is pretty much the way I have felt the whole time. Occasional nausea when I do strenuous things. And the first two days I had a little bit of diarrhea. But thats gone now. And I just have occasional nausea. Swelling has gone down on my Vaccination site, and its no longer sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Bowel movement irregularity, Diarrhoea — Feeling: Good · Fatigue or tirednessFree text: Needed to poop lots today. It was not diarrhea, but was kind of loose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-06
- 2021-03-17
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I havent checked in regularly over the last few days, But the way Im feeling today is pretty much the way I have felt the whole time. Occasional nausea when I do strenuous things. And the first two days I had a little bit of diarrhea. But thats gone now. And I just have occasional nausea. Swelling has gone down on my Vaccination site, and its no longer sore.
Systemic reaction (other): Needed to poop lots today. It was not diarrhea, but was kind of loose.
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 |
|---|---|---|---|---|
| SRO | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release