6PG-25167-18135
3 vaccinations
6 coded responses
31 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 017 / MA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, 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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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Headache, Joint pains, Rash, not including the immediate area around the injection siteFree text: Small blotch of a rash on clavicle area of chest since day after vaccination, but does not look significant and is getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-03
- 2021-03-11
- 2021-03-17
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2021-03-24
Dose 2 — Moderna
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2021-03-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Testicular pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Testicular painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Band sensation, Condition aggravated, Multiple sclerosis, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Exacerbation of the so called "MS Hug" (absmdominsl banding parathesia)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body achesFree text: Rash is on injection arm, but about 3" lower and to the side of injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash pruritic — Feeling: Poor · Site: Redness, Swelling, Itching · Joint pains, Muscle or body achesFree text: Arm rash which started 3 days after Shot #2 (no rash after shot #1) is getting larger and itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 42, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I have MS. 3.5 weeks after my #2 shot, I had an unexpected Positive result of a JCV Antibody test. Wondering if the vax could have revved-up my immune system in a more global way, so as to also produce more JCV antibodies, as well?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-09-22
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2021-10-05
Dose 3 — Moderna
- 2021-10-25
- 2021-10-28
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2022-01-05
- 2022-04-07
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-10-05 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Small blotch of a rash on clavicle area of chest since day after vaccination, but does not look significant and is getting better
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Testicular pain
Systemic reaction (other): Exacerbation of the so called "MS Hug" (absmdominsl banding parathesia)
Systemic reaction (other): Rash is on injection arm, but about 3" lower and to the side of injection site.
Systemic reaction (other): Arm rash which started 3 days after Shot #2 (no rash after shot #1) is getting larger and itchy
Release 8 — day 42, dose 2
Symptoms: I have MS. 3.5 weeks after my #2 shot, I had an unexpected Positive result of a JCV Antibody test. Wondering if the vax could have revved-up my immune system in a more global way, so as to also produce more JCV antibodies, as well?
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Band sensation | ○ | ✓ | ○ |
| SRO | Condition aggravated | ✓ | · | ✓ |
| SRO | Multiple sclerosis | ○ | ✓ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Testicular pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release