6K9-43687-93522
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Moderna
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site pruritus, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tirednessFree text: Pain at injection sight with some itchy ness. I felt a little feverish 3-6 hours after injection. Pretty mild though.I took a 500 TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: No, I think Im good until I go for my 2nd vax on 4/8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
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2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No seem to be free of any symptoms or side affectsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: I feel fine I think Im good and can end this check-inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Chills, Cough, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: About one week after my second vaccination the reaction hit me hard chills fever bodyaches coughing,Sore throat upset stomach very acidic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-07
- 2021-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at injection sight with some itchy ness. I felt a little feverish 3-6 hours after injection. Pretty mild though.I took a 500 Tylenol
Systemic reaction (other): Nope
Systemic reaction (other): Nope
Systemic reaction (other): No
Release 5 — day 7, dose 1
Systemic reaction (other): No, I think Im good until I go for my 2nd vax on 4/8
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No seem to be free of any symptoms or side affects
Release 7 — day 7, dose 2
Systemic reaction (other): I feel fine I think Im good and can end this check-in
Release 7 — day 14, dose 2
Symptoms: About one week after my second vaccination the reaction hit me hard chills fever bodyaches coughing,Sore throat upset stomach very acidic.
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 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release