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6RJ-22258-35849

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
921 / CA
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Dose 2 — Moderna
  4. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Aches & tiredness VERY MILD...no meds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-22
    Survey response — day 21, dose 2
    MedDRA: Chills, Diarrhoea, Gastroenteritis viral, Headache, Malaise, Nausea, Retching — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: 24-36 hour stomach/intestinal virus. Chills, SLIGHT headache, malaise, nausea, dry heaves, diarrhea. My wife had same. But worse, with possible fever. Neighbor family members who were at our house for small birthday celebration also contr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-30
    Survey response — day 35, dose 2
    MedDRA: Eye pruritus, Lacrimation increased, Nasopharyngitis, Pre-existing disease, Productive cough, Self-medication, Somnolence, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activities
    Free text: Post-nasal drip, productive cough on arising, itchy running eyes. CORICIDEN relieves. Most probably allergies or cold, but meds cause drowsiness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-29
    Survey response — 6 months, dose 2
    MedDRA: Eye irritation, Eye pruritus, Lacrimation increased, Malaise, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Rhinitis — Feeling: Good
    Free text: Cold-like or allergenic symptoms about 7-10 days ago ~ 3-4 days duration. Rhinitis. Itchy, burning, watery eyes, slight sore throat. mild malaise. No fever or aches.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-10-31
    Dose 3 — Moderna
  19. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Good
    Free text: Mild cold orFlu-like. 2-3 days.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-23Moderna
32021-10-31Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Aches & tiredness VERY MILD...no meds

Release 6 — day 21, dose 2

2021-03-22

Symptoms: 24-36 hour stomach/intestinal virus. Chills, SLIGHT headache, malaise, nausea, dry heaves, diarrhea. My wife had same. But worse, with possible fever. Neighbor family members who were at our house for small birthday celebration also contr

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Post-nasal drip, productive cough on arising, itchy running eyes. CORICIDEN relieves. Most probably allergies or cold, but meds cause drowsiness.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Cold-like or allergenic symptoms about 7-10 days ago ~ 3-4 days duration. Rhinitis. Itchy, burning, watery eyes, slight sore throat. mild malaise. No fever or aches.

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Mild cold orFlu-like. 2-3 days.

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
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDEye irritation ✓ · ✓
SDEye pruritus ✓ ✓ ✓
SDGastroenteritis viral ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDLacrimation increased ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDRetching ✓ ✓ ✓
SDRhinitis ✓ · ✓
SDSelf-medication ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓

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