6YC-58065-21548
5 vaccinations
5 coded responses
56 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 602 / IL
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Health check-in — day 0, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Altered sense of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: Good · HeadacheFree text: Altered sense of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
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2021-03-30
Survey response — day 14, dose 1MedDRA: Rash pruritic, Vaccination site rash, Vaccination site reaction, Vaccination site swelling — Feeling: GoodFree text: I've had swelling and a skin rash of about 4 inches in diameter at the site of vaccination for the past 6 days. The swelling is slowly subsiding, but the rash remains and has been itching off and on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-14
Dose 2 — Moderna
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2021-04-14
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Taste disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Altered sense of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-13
Survey response — day 28, dose 2MedDRA: Paraesthesia, Vaccination site pain — Feeling: GoodFree text: Occasional pain over two days at the site of vaccination. It feels like a momentary pricking of the skin but only lasts for a second or two. I felt this on Monday and Tuesday, but not since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-04
Dose 3 — Moderna
- 2021-11-04
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
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2022-04-04
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
- 2022-10-03
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2022-10-18
Dose 5 — ModernaCo-administered: Flu
-
2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Altered sense of taste
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Altered sense of taste
Release 6 — day 14, dose 1
Symptoms: I've had swelling and a skin rash of about 4 inches in diameter at the site of vaccination for the past 6 days. The swelling is slowly subsiding, but the rash remains and has been itching off and on.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Altered sense of taste
Release 8 — day 28, dose 2
Symptoms: Occasional pain over two days at the site of vaccination. It feels like a momentary pricking of the skin but only lasts for a second or two. I felt this on Monday and Tuesday, but not since then.
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 | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release