6C9-91213-31880
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Muscle or body aches, Nausea, DiarrheaAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Gastrooesophageal reflux disease, Pain in extremity — Feeling: Good · Fatigue or tiredness, NauseaFree text: I didnt report this earlier in the week, but I noticed the night I got my shot that I had a little increased reflux and related twinges right under my breast bone. It happened as the pain in my arm started to increase. I thought little of it. I have noticed my digestive tract has been slightly inflamed. I do manage IBS and occasional reflux. Its entirely possible what I experienced during the week was related to that and not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease, Lymph node pain, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weird throbbing jolts in my lymph nodes under my left armpit, behind my right knee, and behind my right ear. It also aggravated my reflux. All that said, symptoms have been improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Fatigue or tirednessFree text: Reflux still activated a bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: GoodFree text: RefluxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
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2021-03-02
Survey response — day 7, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: GoodFree text: Reflux has been acting up since I got the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-26
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I didnt report this earlier in the week, but I noticed the night I got my shot that I had a little increased reflux and related twinges right under my breast bone. It happened as the pain in my arm started to increase. I thought little of it. I have noticed my digestive tract has been slightly inflamed. I do manage IBS and occasional reflux. Its entirely possible what I experienced during the week was related to that and not the vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Systemic reaction (other): Weird throbbing jolts in my lymph nodes under my left armpit, behind my right knee, and behind my right ear. It also aggravated my reflux. All that said, symptoms have been improving.
Systemic reaction (other): Reflux still activated a bit
Systemic reaction (other): Reflux
Release 4 — day 7, dose 2
Systemic reaction (other): Reflux has been acting up since I got the shot.
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 | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release