6YF-29660-68406
5 vaccinations
5 coded responses
65 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Mild Soreness around the vaccination spotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Very mild, Much reduced soreness around the injection areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain around the injection almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I had a small rash which become larger and more pronounced after the shot. Dont recall if that happened as much after the first dose. Went to the dermatologist and he said it is psoriasis and may have been a reaction to the shot. Prescribed triamcinoline cream and it is rapidly improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-10-25
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-05-25
Dose 4 — Moderna
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-08
-
2022-06-15
Survey response — day 21, dose 4MedDRA: Red blood cell count decreased, White blood cell count increased — Feeling: GoodFree text: White blood count higher than normal. Red blood count lower than normal.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-08-24
-
2022-09-22
Dose 5 — Moderna
- 2022-09-22
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
| 5 | 2022-09-22 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Mild Soreness around the vaccination spot
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild, Much reduced soreness around the injection area
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain around the injection almost gone
Release 4 — day 7, dose 2
Systemic reaction (other): I had a small rash which become larger and more pronounced after the shot. Dont recall if that happened as much after the first dose. Went to the dermatologist and he said it is psoriasis and may have been a reaction to the shot. Prescribed triamcinoline cream and it is rapidly improving.
Release 12 — day 21, dose 4
Symptoms: White blood count higher than normal. Red blood count lower than normal.
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 | Red blood cell count decreased | · | · | ✓ |
| SD | White blood cell count increased | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release