6C7-24791-92194
4 vaccinations
11 coded responses
47 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort — Feeling: GoodFree text: Very minor ache in injection arm. Would not call pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: Fair · DiarrheaFree text: Blood glucose levels elevated despite increase in insulin injectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: GoodFree text: Continue to have higher than target blood glucose levels despite more insulin injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I was able to kick start insulin sensitivity with exercise so blood glucose levels and required insulin back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: GoodFree text: Im injecting double the amount of insulin that I normally would use, and blood glucose not down to normal levels. This was same for ~4 days after first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Reaction to previous exposure to any vaccine, Therapy change, Unevaluable event — Feeling: GoodFree text: Insulin requirement back to normal. Same with 1st vaccine dose, on day 4 after vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-22
- 2021-07-09
- 2021-10-08
-
2021-11-08
Dose 3 — Moderna
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Insulin resistance, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight elevation in insulin resistance as seen previously. Only75% more insulin than normal.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Pyrexia — Feeling: GoodFree text: Fever broke at noon today. Low grade fever yesterday. Still high level of insulin resistance. 3.5 times normal insulin levels and blood glucose levels are too high.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Insulin resistance is still abnormally high. Injecting 4.5 times normal insulin and still unable to get blood glucose to tar levels.MedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Insulin resistance — Feeling: GoodFree text: Insulin resistance improving. Twice the normal insulin.MedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Insulin required has returned to normal. Extra insulin not required.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-07
- 2021-12-20
- 2022-02-07
-
2022-11-03
Dose 4 — ModernaCo-administered: Flu
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2022-11-04
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-02-02
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-11-03 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Very minor ache in injection arm. Would not call pain.
Systemic reaction (other): Blood glucose levels elevated despite increase in insulin injected
Systemic reaction (other): Continue to have higher than target blood glucose levels despite more insulin injected.
Systemic reaction (other): I was able to kick start insulin sensitivity with exercise so blood glucose levels and required insulin back to normal.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Im injecting double the amount of insulin that I normally would use, and blood glucose not down to normal levels. This was same for ~4 days after first dose.
Systemic reaction (other): Insulin requirement back to normal. Same with 1st vaccine dose, on day 4 after vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight elevation in insulin resistance as seen previously. Only75% more insulin than normal.
Systemic reaction (other): Fever broke at noon today. Low grade fever yesterday. Still high level of insulin resistance. 3.5 times normal insulin levels and blood glucose levels are too high.
Systemic reaction (other): Insulin resistance is still abnormally high. Injecting 4.5 times normal insulin and still unable to get blood glucose to tar levels.
Systemic reaction (other): Insulin resistance improving. Twice the normal insulin.
Systemic reaction (other): Insulin required has returned to normal. Extra insulin not required.
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 |
|---|---|---|---|---|
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Insulin resistance | · | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | · | ✓ |
| SRO | Therapy change | ○ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release