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5SG-31653-47018

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Registered in v-safe
  2. 2021-01-30
    Dose 1 — Moderna
  3. 2021-01-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Less site ache today. It lessened and shifted slightly down from site and towards front of arm a bit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort, Abdominal pain upper, Myalgia, Pruritus — Feeling: Fair · Site: Itching · Abdominal pain
    Free text: Ache/pressure in descending colon. Two bowl movements of smaller amount. And the itching I mentioned was below inoculation site and towards the bicep. Only once witth slight ache in muscle only when touched.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-06
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-27
    Dose 2 — Moderna
  14. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Muscle or body aches
    Free text: The muscle ache I report is just typical for around the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains
    Free text: Maybe since the injection, my arthritic aches at base of thumbs be described as more painful. 5 , without warning, vs. 3 but mor of an ache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-06
    Survey response — day 7, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Apparent allergic reaction to Neosporin after never reacting before that I can remember
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-02-27Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Less site ache today. It lessened and shifted slightly down from site and towards front of arm a bit.

2021-02-02

Systemic reaction (other): Ache/pressure in descending colon. Two bowl movements of smaller amount. And the itching I mentioned was below inoculation site and towards the bicep. Only once witth slight ache in muscle only when touched.

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): The muscle ache I report is just typical for around the injection site

2021-03-03

Systemic reaction (other): Maybe since the injection, my arthritic aches at base of thumbs be described as more painful. 5 , without warning, vs. 3 but mor of an ache.

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Apparent allergic reaction to Neosporin after never reacting before that I can remember

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
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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

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