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
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2021-04-12
Registered in v-safe
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2021-04-12
Dose 2 — Moderna
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2021-04-12
Survey response — day 0, dose 1MedDRA: Coordination abnormal — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Seem to be a little off with my coordination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Neck a bit sore maybe because of fiftful sleeping position.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree 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
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree 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
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sleepy, took am and afternoon naps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 1MedDRA: Injection site discolouration — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Yellowish color around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 14, dose 1MedDRA: Office visit, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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
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2021-04-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-03
- 2021-05-20
- 2021-05-24
- 2021-07-14
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 2 | 2021-04-12 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Seem to be a little off with my coordination.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Neck a bit sore maybe because of fiftful sleeping position.
Systemic reaction (other): Feeling better after taking one 200 mg. Ibuprofen last night and this afternoon.
Systemic reaction (other): Thursday started taking one 200 mg ibuprofen which helps a lot.
Systemic reaction (other): Sleepy, took am and afternoon naps.
Release 7 — day 7, dose 1
Systemic reaction (other): Yellowish color around injection site.
Release 8 — day 14, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Coordination abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release