5QY-41359-12923
5 vaccinations
11 coded responses
51 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 344 / FL
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Moderna
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2021-01-09
Registered in v-safe
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Abdominal painFree text: Severe moment of acid indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessFree text: No new symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Good so far todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Some muscle pain in my right sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: After effects pretty much gone. Still a little tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — day 7, dose 1MedDRA: Anxiety — Feeling: Good · Muscle or body achesFree text: Anxiety over whether will get second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-30
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2021-02-05
Dose 2 — Moderna
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2021-02-05
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · HeadacheFree text: Just received shot so too early for symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Happy I got my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Photophobia, Vision blurred — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Eye blurry and very sensitive to light. Last night all of a sudden many symptoms hit me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 2MedDRA: Hypoaesthesia, Photophobia — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Yesterday had numbness in right leg. Still have extreme sensitivity to light. Vision not as blurry as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-27
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
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2021-08-15
Dose 3 — Moderna
- 2021-11-14
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2022-01-22
Dose 4 — Moderna
- 2022-01-22
- 2022-01-23
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2022-01-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Chills, HeadacheAdult check-in
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2022-01-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Muscle or body achesAdult check-in
- 2022-01-26
- 2022-01-27
- 2022-01-28
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-03-05
- 2022-04-24
- 2022-07-23
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2022-09-09
Dose 5 — Moderna
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-08-15 | Moderna | No |
| 4 | 2022-01-22 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Severe moment of acid indigestion
Systemic reaction (other): No new symptoms
Systemic reaction (other): Good so far today
Systemic reaction (other): Some muscle pain in my right side
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): After effects pretty much gone. Still a little tired.
Release 2 — day 7, dose 1
Systemic reaction (other): Anxiety over whether will get second shot
Release 3 — day 0, dose 2
Systemic reaction (other): Just received shot so too early for symptoms
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Happy I got my vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Eye blurry and very sensitive to light. Last night all of a sudden many symptoms hit me.
Release 4 — day 7, dose 2
Systemic reaction (other): Yesterday had numbness in right leg. Still have extreme sensitivity to light. Vision not as blurry as yesterday.
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 | Dyspnoea | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release