6SX-31461-34583
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 077 / NJ
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
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2021-02-09
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body achesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Muscle or body achesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
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2021-02-18
Survey response — day 7, dose 1MedDRA: Contusion, Ecchymosis, Swelling — Feeling: GoodFree text: I have had a bruise on my leg lower leg thats a little swollen since I had the 1st shot that hasnt subsided. Its tender to touch and have a notable slight ecchymosis. Not sure if its related but wanted to report just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
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2021-03-09
Dose 2 — Moderna
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2021-03-09
Health check-in — day 0, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Muscle or body achesAdult check-in
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: GoodFree text: Been noticing that Im bruising easily. Not sure if its a side effect but would it to be noted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 35, dose 2MedDRA: Erythema, Pyrexia, Skin warm — Feeling: GoodFree text: Redness of skin on chest, face and upper arms. Hot to touch, temp on chest was 101. Lasted for 1/2 dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-06-08
- 2021-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I have had a bruise on my leg lower leg thats a little swollen since I had the 1st shot that hasnt subsided. Its tender to touch and have a notable slight ecchymosis. Not sure if its related but wanted to report just in case.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Been noticing that Im bruising easily. Not sure if its a side effect but would it to be noted.
Release 7 — day 35, dose 2
Symptoms: Redness of skin on chest, face and upper arms. Hot to touch, temp on chest was 101. Lasted for 1/2 day
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 | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Ecchymosis | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release