6LX-31385-42465
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Energy increased, Therapeutic response unexpected — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body achesFree text: Not sure if this is a side effect but I noticed once I got the injection I had a boost of energy like I went grocery shopping I came home seriously reorganized cleaned relabeled my cupboards. Perhaps boost of energy it's a rare side effectMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-29
Dose 2 — Moderna
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I've been excessively tired for most of the week since Tuesday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — day 14, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash clusters on both elbowsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Survey response — day 28, dose 2MedDRA: Erythema, Rash, Rash erythematous — Feeling: FairFree text: Since my last check and I've noticed that the clusters of rash that are bright red have returned mainly to my right arm near the elbow I also have some very light red and color on my left arm near the elbow and I have some on my throat that are alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 35, dose 2MedDRA: Rash — Feeling: GoodFree text: I still have the rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-04-30
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Rash — Feeling: GoodFree text: I still have the rash on both arms by my elbowsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Not sure if this is a side effect but I noticed once I got the injection I had a boost of energy like I went grocery shopping I came home seriously reorganized cleaned relabeled my cupboards. Perhaps boost of energy it's a rare side effect
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Very tired
Release 3 — day 7, dose 2
Systemic reaction (other): I've been excessively tired for most of the week since Tuesday morning.
Release 4 — day 14, dose 2
Symptoms: Rash clusters on both elbows
Release 4 — day 28, dose 2
Symptoms: Since my last check and I've noticed that the clusters of rash that are bright red have returned mainly to my right arm near the elbow I also have some very light red and color on my left arm near the elbow and I have some on my throat that are also cut off by CDC
Release 5 — day 35, dose 2
Symptoms: I still have the rash
Release 9 — 6 months, dose 2
Symptoms: I still have the rash on both arms by my elbows
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release