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6AH-44325-48483

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
930 / CA
Registered
2021-04-12
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-12
    Registered in v-safe
  2. 2021-04-12
    Dose 2 — Moderna
  3. 2021-04-12
    Survey response — day 0, dose 1
    MedDRA: Coordination abnormal — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Seem to be a little off with my coordination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Neck a bit sore maybe because of fiftful sleeping position.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Feeling better after taking one 200 mg. Ibuprofen last night and this afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Thursday started taking one 200 mg ibuprofen which helps a lot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sleepy, took am and afternoon naps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-19
    Survey response — day 7, dose 1
    MedDRA: Injection site discolouration — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Yellowish color around injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-26
    Survey response — day 14, dose 1
    MedDRA: Office visit, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tightness and soreness around right shoulder and back right side of my neck where i have a lipoma. Still getting mild & body headaches which i experienced previously. Taking 2 - 200 mg capsules of Ibuprofen which helps. · Healthcare visit (other): Visit to dermatologist office..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-26
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-05-03
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
22021-04-12Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Seem to be a little off with my coordination.

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Neck a bit sore maybe because of fiftful sleeping position.

2021-04-15

Systemic reaction (other): Feeling better after taking one 200 mg. Ibuprofen last night and this afternoon.

2021-04-16

Systemic reaction (other): Thursday started taking one 200 mg ibuprofen which helps a lot.

2021-04-17

Systemic reaction (other): Sleepy, took am and afternoon naps.

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): Yellowish color around injection site.

Release 8 — day 14, dose 1

2021-04-26

Symptoms: Tightness and soreness around right shoulder and back right side of my neck where i have a lipoma. Still getting mild & body headaches which i experienced previously. Taking 2 - 200 mg capsules of Ibuprofen which helps.
Healthcare visit (other): Visit to dermatologist office..

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
HCVOOffice visit ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROCoordination abnormal ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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