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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

  1. 2021-01-25
    Registered in v-safe
  2. 2021-01-25
    Dose 1 — Moderna
  3. 2021-01-25
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  5. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Headache, Muscle or body aches, Nausea, Diarrhea
    Adult check-in
  8. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gastrooesophageal reflux disease, Pain in extremity — Feeling: Good · Fatigue or tiredness, Nausea
    Free 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
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-23
    Dose 2 — Moderna
  15. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  17. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Fatigue or tiredness
    Free text: Reflux still activated a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good
    Free text: Reflux
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-02
    Survey response — day 7, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good
    Free text: Reflux has been acting up since I got the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-23Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

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

2021-02-24

Systemic reaction (other): Brain fog

2021-02-25

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.

2021-02-26

Systemic reaction (other): Reflux still activated a bit

2021-02-27

Systemic reaction (other): Reflux

Release 4 — day 7, dose 2

2021-03-02

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

FieldPreferred term2021-092023-042024-11
SROFeeling abnormal ✓ ✓ ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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