6SD-20201-08273
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 306 / GA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 2 — Moderna
-
2021-03-18
Survey response — day 0, dose 2MedDRA: Fatigue, Flushing — Feeling: Fair · Fatigue or tirednessFree text: Slight fatigue, face is a little flush 10 hrs after 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Tendon pain, Weight bearing difficulty — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sudden acute ankle tendon/bone pain. Could not put weight on my heel.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Pharyngeal swelling — Feeling: GoodFree text: Slight swelling in throat- could be high pollen countMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 2MedDRA: Blister, Hypoaesthesia oral, Lip pain, Paraesthesia — Feeling: GoodFree text: Sensitivity on top lip line for a couple days. Single Blister for 1 day. Numbness and tingly sensation around left side of chin and mouth after consuming alcohol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 35, dose 2MedDRA: Arthralgia, Fatigue, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Tired and joint pains runny nose and sneezing. Could be high pollen count and fatigue/joint pain from moving heavy boxes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: I had a short stomach bug after a recent trip to the Beach in Gulf Shores last week. It wasnt serious but wanted to mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-19
Survey response — 6 months, dose 2MedDRA: Apathy, Dermatitis psoriasiform, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been experiencing an inverted psoriatic rash on my back side that doesnt want to go away. Ive been having general fatigue and lack of motivation for several days but it might not be related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Slight fatigue, face is a little flush 10 hrs after 2nd shot
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sudden acute ankle tendon/bone pain. Could not put weight on my heel.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Slight swelling in throat- could be high pollen count
Release 6 — day 14, dose 2
Symptoms: Sensitivity on top lip line for a couple days. Single Blister for 1 day. Numbness and tingly sensation around left side of chin and mouth after consuming alcohol.
Release 7 — day 35, dose 2
Symptoms: Tired and joint pains runny nose and sneezing. Could be high pollen count and fatigue/joint pain from moving heavy boxes.
Release 9 — 3 months, dose 2
Symptoms: I had a short stomach bug after a recent trip to the Beach in Gulf Shores last week. It wasnt serious but wanted to mention it.
Release 9 — 6 months, dose 2
Symptoms: I have been experiencing an inverted psoriatic rash on my back side that doesnt want to go away. Ive been having general fatigue and lack of motivation for several days but it might not be related to the vaccine.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Apathy | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Dermatitis psoriasiform | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Lip pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Tendon pain | ✓ | ✓ | ✓ |
| SRO | Weight bearing difficulty | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release