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6BB-45427-66293

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
730 / OK
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site rash, Injection site warmth — Feeling: Good
    Free text: Yesterday the shot site for my first Moderna shot taken January 20th turn red and has a rash. About the size of a baseball. Hot to touch. I read on line several have had this swelling come on 10 to 14 days later.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-24
    Dose 2 — Moderna
  7. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Blood glucose increased — Feeling: Good · Site: Swelling, Itching · Headache, Joint pains
    Free text: Back ache not sure why. Sugar levels high by 50pts since shot on normal intake of food.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Pain in arm from first shot. Second shot no pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Joint pain seems to have come on. Hip joints ache and shoulders.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-24
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: My joints seem to still ache as does the shot sight. Not bad but there. Maybe weather.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-31
    Survey response — day 35, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: Sore joints. Not sure if this is the vaccine or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair
    Free text: Weak and tired but it has been since Feb since shot so dont think related. ???
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-24Moderna

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Yesterday the shot site for my first Moderna shot taken January 20th turn red and has a rash. About the size of a baseball. Hot to touch. I read on line several have had this swelling come on 10 to 14 days later.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Back ache not sure why. Sugar levels high by 50pts since shot on normal intake of food.

2021-03-01

Systemic reaction (other): Pain in arm from first shot. Second shot no pain

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Joint pain seems to have come on. Hip joints ache and shoulders.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: My joints seem to still ache as does the shot sight. Not bad but there. Maybe weather.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Sore joints. Not sure if this is the vaccine or not.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Weak and tired but it has been since Feb since shot so dont think related. ???

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
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ · ✓
SDFatigue ✓ · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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