6LR-21605-46048
5 vaccinations
5 coded responses
47 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
-
2021-01-28
Survey response — day 0, dose 1MedDRA: Photophobia — Feeling: GoodFree text: slight sensitivity to light & shadowsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Insomnia — Feeling: Good · Site: Pain · Muscle or body achesFree text: not much... just want to report that after a day of feeling no discomfort at the injection site, last night in bed the spot was noticeably sore to the point that sleeping on it was uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Brain fog, Feeling abnormal, Heart rate increased, Hypertension, Pulse pressure increased, Tremor — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: pulse stays high... 100 bpm +/-. slight trembling. somewhat fog-brained. bp higher than normal 140+/90+ (125/80 usually)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · Fatigue or tirednessFree text: bp is back to normal. pulse is below 100 bpm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-04
Dose 3 — Moderna
- 2022-02-25
-
2022-04-12
Dose 4 — Moderna
- 2022-04-28
- 2022-05-03
- 2022-05-10
- 2022-05-19
- 2022-05-26
- 2022-07-12
-
2022-09-22
Dose 5 — ModernaCo-administered: Flu
- 2022-09-22
-
2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Animal bite, Suture insertion — Feeling: FairFree text: a dog bite today... I'm stitched up & fineMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-11-03
- 2022-12-24
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-09-22 | Moderna | Flu |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): slight sensitivity to light & shadows
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): not much... just want to report that after a day of feeling no discomfort at the injection site, last night in bed the spot was noticeably sore to the point that sleeping on it was uncomfortable.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): pulse stays high... 100 bpm +/-. slight trembling. somewhat fog-brained. bp higher than normal 140+/90+ (125/80 usually)
Systemic reaction (other): bp is back to normal. pulse is below 100 bpm.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): a dog bite today... I'm stitched up & fine
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 | Animal bite | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Feeling abnormal | ○ | ✓ | ○ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypertension | ○ | ✓ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pulse pressure increased | ○ | ✓ | ○ |
| SRO | Suture insertion | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release