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6MG-12641-60017

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
462 / IN
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-04-23
    Survey response — day 21, dose 1
    MedDRA: Hypoaesthesia, Muscular weakness, Pain in extremity — Feeling: Good
    Free text: Soreness, some pain, and weakness, at times minor numbness, in my left lower leg, traveling up to my upper leg - not due to exertion or overuse. This has been present the past week and a half, peaked about 5 days ago, and is less the past two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-30
    Dose 2 — Moderna
  7. 2021-04-30
    Survey response — day 0, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work
    Free text: I'm still feeling pain and soreness in my left calf and shin, migrating upward into the quads at times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle tightness, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Soreness and tightness in left calf.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Lower back ache, abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Feeling abnormal — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Brain fog. Also present but unreported Yesterday and Saturday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising, Injection site warmth — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Injection site is yellowed/bruised (week old bruising) and warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-14
    Survey response — day 14, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Site of injection became itchy for 3 days. Resolved now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-30Moderna

Free text

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Soreness, some pain, and weakness, at times minor numbness, in my left lower leg, traveling up to my upper leg - not due to exertion or overuse. This has been present the past week and a half, peaked about 5 days ago, and is less the past two days. cut off by CDC

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): I'm still feeling pain and soreness in my left calf and shin, migrating upward into the quads at times.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Soreness and tightness in left calf.

2021-05-02

Systemic reaction (other): Lower back ache, abnormal.

2021-05-03

Systemic reaction (other): Brain fog. Also present but unreported Yesterday and Saturday.

2021-05-06

Systemic reaction (other): Injection site is yellowed/bruised (week old bruising) and warm

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Site of injection became itchy for 3 days. Resolved now.

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
SDHypoaesthesia ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBrain fog · · ✓
SROFeeling abnormal ✓ ✓ ○
SROInjection site bruising ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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