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5PH-77847-32775

2 vaccinations 3 coded responses 20 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
558 / MN
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Survey response — day 0, dose 1
    MedDRA: Flushing, Pre-existing disease — Feeling: Fair
    Free text: I always have joint pain and muscle aches but haven't noticed that they are worse. What is new is a flushed feeling on both sides of my face. But then I had a Lupron injection yesterday so it's a toss up as to which one.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-16
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-16
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Dose 2 — Moderna
  13. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Chronic pain from spinal injuries and Firomyalgia. Maybe more added from vaccinations but maybe not. Previous 5 days pain was severe! Moderate tody.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  16. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-17
    Survey response — 6 months, dose 2
    MedDRA: Dental caries, Tooth disorder, Tooth extraction — Feeling: Good · Be unable to do your normal daily activities
    Free text: A lot of teeth problems including two extractions & 6 fillings. All since last September. I feel there must be an underlying cause.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-03-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-19Moderna

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): I always have joint pain and muscle aches but haven't noticed that they are worse. What is new is a flushed feeling on both sides of my face. But then I had a Lupron injection yesterday so it's a toss up as to which one.

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Chronic pain from spinal injuries and Firomyalgia. Maybe more added from vaccinations but maybe not. Previous 5 days pain was severe! Moderate tody.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: A lot of teeth problems including two extractions & 6 fillings. All since last September. I feel there must be an underlying cause.

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

FieldPreferred term2021-092023-042024-11
SDDental caries · · ✓
SDTooth disorder · · ✓
SDTooth extraction · · ✓
SROFlushing ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release