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65N-20309-35566

2 vaccinations 2 coded responses 16 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-25
    Dose 2 — Moderna
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthritis, Pain in extremity — Feeling: Fair · Site: Redness, Itching · Fever · Joint pains, Fatigue or tiredness
    Free text: I have off writers in my hands after I got the shot my right hand the finger by the some I could hardly cold anything it hurts so much it's a lot better now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  11. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-25
    Survey response — 12 months, dose 2
    MedDRA: Dyspnoea, Fall, Musculoskeletal chest pain, Office visit, Rash, Rib fracture, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have rat rash on both my legs down towards my ankles I had problems going to the bathroom but it seems like it's clearing up I saw the doctor I had fallen and practured my thrill practiced my 3 or 4 ribs which are healing I was having problems brea · Healthcare visit (other): I saw a doctor for my ribs I tried to talk to my doctor she said she get back to me and she never did that's why I went in instead of seeing her I ended up seeing her supervisor I don't know what this is right between my ribs at the top I tried to ex
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-03-25
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  21. 2022-03-28

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): I have off writers in my hands after I got the shot my right hand the finger by the some I could hardly cold anything it hurts so much it's a lot better now

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: I have rat rash on both my legs down towards my ankles I had problems going to the bathroom but it seems like it's clearing up I saw the doctor I had fallen and practured my thrill practiced my 3 or 4 ribs which are healing I was having problems brea cut off by CDC
Healthcare visit (other): I saw a doctor for my ribs I tried to talk to my doctor she said she get back to me and she never did that's why I went in instead of seeing her I ended up seeing her supervisor I don't know what this is right between my ribs at the top I tried to ex cut off by CDC

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
HCVOMusculoskeletal chest pain · · ✓
HCVOOffice visit · · ✓
SDDyspnoea · · ✓
SDFall · · ✓
SDOffice visit · · ✓
SDRash · · ✓
SDRib fracture · · ✓
SDUnevaluable event · · ✓
SROArthritis ✓ · ✓
SROPain in extremity ✓ ✓ ✓

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