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647-13415-34074

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
199 / DE
Registered
2021-03-28
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Injection site irritation, Neuralgia, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: I have various nerve and pain conditions as well as Lupus so I couldn't tell you if anything is different from normal. If I had to guess, the injection site might have irritated some of my conditions at that spot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I have multiple medical conditions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Same
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-09
    Survey response — day 14, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bad flare up from existing conditions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-16
    Survey response — day 21, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Usual medical conditions with bad weather.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Dose 2 — Moderna
  10. 2021-04-30
    Survey response — day 7, dose 2
    MedDRA: Myalgia, Pain of skin — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Skin and muscle pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  12. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-25
    Survey response — day 35, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bad day of previous conditions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-01
    Survey response — day 42, dose 2
    MedDRA: Rash — Feeling: Fair
    Free text: Skin rash around armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-20Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): I have various nerve and pain conditions as well as Lupus so I couldn't tell you if anything is different from normal. If I had to guess, the injection site might have irritated some of my conditions at that spot.

2021-03-29

Systemic reaction (other): I have multiple medical conditions.

2021-03-31

Systemic reaction (other): Same

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Bad flare up from existing conditions.

Release 7 — day 21, dose 1

2021-04-16

Symptoms: Usual medical conditions with bad weather.

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Skin and muscle pain

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Bad day of previous conditions.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Skin rash around armpit.

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
SDAdverse reaction ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROInjection site irritation ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSystemic lupus erythematosus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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