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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

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site pruritus, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness
    Free 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 Tylenol
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: No, I think Im good until I go for my 2nd vax on 4/8
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No seem to be free of any symptoms or side affects
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I feel fine I think Im good and can end this check-in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort, Chills, Cough, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free 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
  23. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

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

2021-03-15

Systemic reaction (other): Nope

2021-03-16

Systemic reaction (other): Nope

2021-03-17

Systemic reaction (other): No

Release 5 — day 7, dose 1

2021-03-18

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

2021-04-14

Systemic reaction (other): No seem to be free of any symptoms or side affects

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): I feel fine I think Im good and can end this check-in

Release 7 — day 14, dose 2

2021-04-22

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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