59P-15502-78122
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 373 / TN
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
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2021-04-16
Dose 1 — Moderna
- 2021-04-16
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Musculoskeletal stiffness, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Very stiff where shot was given. Moderate pain when moving arm at allMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Stiffness in the arm the shot went into. Moderate pain when moving arm in any direction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-17
-
2021-05-21
Dose 2 — Moderna
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2021-05-21
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Area of shot a little bit soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-30
- 2021-06-06
- 2021-06-11
- 2021-06-18
- 2021-07-02
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2021-08-20
Survey response — 3 months, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: My blood pressure has been higher than normal. I'm 40 yrs. old & have ALWAYS had normal blood pressure. I understand it could possibly be other factors, but there's been no change in any life choices or increased stress levels. Quite the opposite.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Very stiff where shot was given. Moderate pain when moving arm at all
Systemic reaction (other): Stiffness in the arm the shot went into. Moderate pain when moving arm in any direction.
Release 8 — day 0, dose 2
Systemic reaction (other): Dizzy
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Area of shot a little bit sore
Release 9 — 3 months, dose 2
Symptoms: My blood pressure has been higher than normal. I'm 40 yrs. old & have ALWAYS had normal blood pressure. I understand it could possibly be other factors, but there's been no change in any life choices or increased stress levels. Quite the opposite.
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 | Blood pressure increased | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release