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5VU-93996-00289

2 vaccinations 3 coded responses 24 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
483 / MI
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Pain — Feeling: Good
    Free text: Day 1 felt the needle. Day 2 pain like a bee sting. Day 3 akin to a localized bad muscle ache. 4+ gradually pain went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-12
    Dose 2 — Moderna
  14. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: I am a recovering Paraneoplastic neurological syndrome and stiff person syndrome patient. After my 2nd vaccine shot many symptoms worsened for one day and returned to normal. However the muscular automotion which has been long gone flared up and is still present 7 days post 2nd vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-12Moderna

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Day 1 felt the needle. Day 2 pain like a bee sting. Day 3 akin to a localized bad muscle ache. 4+ gradually pain went away.

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): I am a recovering Paraneoplastic neurological syndrome and stiff person syndrome patient. After my 2nd vaccine shot many symptoms worsened for one day and returned to normal. However the muscular automotion which has been long gone flared up and is still present 7 days post 2nd vaccine.

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
SROCondition aggravated ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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