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6BQ-22140-21336

2 vaccinations 11 coded responses 13 check-ins 11 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
665 / KS
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Just little tender in area but probably normal is all symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Everything good all systems go Huston (lol)Im feeling fine just haveing alittle fun today haha
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Everything still all systems green ok fabilious
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Everything is great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Doing just fine still great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Everything is still great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-22
    Dose 2 — Moderna
  12. 2021-02-22
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No symptoms only hoping and praying no anything like what wife went through with Pfhiser shot (wow)she have terrible reaction
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Everything is good no PROBLEMS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Everything great thanks for checking in to me great someone think I have value in this life mean something great come out of this we all come back to Christ as our lord and savior
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Going swell no problem at all
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Everything great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Just little tender in area but probably normal is all symptoms

2021-01-28

Systemic reaction (other): Everything good all systems go Huston (lol)Im feeling fine just haveing alittle fun today haha

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Everything still all systems green ok fabilious

2021-01-30

Systemic reaction (other): Everything is great

2021-01-31

Systemic reaction (other): Doing just fine still great

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Everything is still great

Release 4 — day 0, dose 2

2021-02-22

Systemic reaction (other): No symptoms only hoping and praying no anything like what wife went through with Pfhiser shot (wow)she have terrible reaction

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Everything is good no PROBLEMS

2021-02-24

Systemic reaction (other): Everything great thanks for checking in to me great someone think I have value in this life mean something great come out of this we all come back to Christ as our lord and savior

2021-02-25

Systemic reaction (other): Going swell no problem at all

2021-02-26

Systemic reaction (other): Everything great

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
SROInjection site pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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