6U9-12278-36343
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
-
2021-02-24
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Im not not 10 years younger as they promised!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Fatigue or tirednessFree text: my normal soreness in hips seems more pronounced but difficult to say its from the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
-
2021-04-07
Survey response — day 14, dose 2MedDRA: Hypoaesthesia, Malaise, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cant say for certain its related to the 2nd Moderna shot, but since that dose, after a day of malaise and low fever that went away, my pre-exist numbness in feet has worsened and regularity affected. Does the med. affect the microbiohome?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-30
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-11-19
Dose 3 — Moderna
-
2022-03-24
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: A slight fever for several days, then severe intestinal distress, which might have been food related.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Im not not 10 years younger as they promised!
Systemic reaction (other): my normal soreness in hips seems more pronounced but difficult to say its from the vaccine
Release 7 — day 14, dose 2
Symptoms: Cant say for certain its related to the 2nd Moderna shot, but since that dose, after a day of malaise and low fever that went away, my pre-exist numbness in feet has worsened and regularity affected. Does the med. affect the microbiohome?
Release 11 — 12 months, dose 2
Symptoms: A slight fever for several days, then severe intestinal distress, which might have been food related.
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 | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release