5G3-28439-24036
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 515 / IA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
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2021-02-10
Dose 1 — Moderna
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: Arm above injection site is slightly achy, not enough to call painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 1MedDRA: Injection site discolouration, Injection site induration, Injection site pain, Injection site warmth — Feeling: GoodFree text: Injection site and 2 inches around it slightly pink, warm to the touch and hard. I am assuming this is indicative of developing antibodies as required. No pain unless touched, then minimal pain if pushed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 21, dose 1MedDRA: Immunisation reaction — Feeling: GoodFree text: COVID Arm previously reported disappeared in 4 days, FYI.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-13
Dose 2 — Moderna
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2021-03-13
Survey response — day 0, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Headache was very slight and Aleve handled itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Sleep disorder — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesFree text: Nothing major, trouble sleeping last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: Pain, Swelling · Fever · ChillsFree text: Short bout of chills last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-03-18
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Oedema peripheral — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteFree text: The swelling and redness extended from my deltoid injection site past my elbow and halfway to my wrist (about twice the COVID arm I experienced from the first shot and about double the amount of swelling. As of right now it has been diminishing a bit all day but still noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm above injection site is slightly achy, not enough to call pain
Release 4 — day 14, dose 1
Symptoms: Injection site and 2 inches around it slightly pink, warm to the touch and hard. I am assuming this is indicative of developing antibodies as required. No pain unless touched, then minimal pain if pushed.
Release 5 — day 21, dose 1
Symptoms: COVID Arm previously reported disappeared in 4 days, FYI.
Release 5 — day 0, dose 2
Systemic reaction (other): Headache was very slight and Aleve handled it
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Nothing major, trouble sleeping last night.
Systemic reaction (other): Short bout of chills last night
Systemic reaction (other): The swelling and redness extended from my deltoid injection site past my elbow and halfway to my wrist (about twice the COVID arm I experienced from the first shot and about double the amount of swelling. As of right now it has been diminishing a bit all day but still noticeable.
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release