6YG-27607-54445
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 850 / AZ
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
-
2021-02-15
Survey response — day 0, dose 1MedDRA: Blood glucose increased — Feeling: GoodFree text: I had a very high blood sugar if 350 2 1/2 hours after receiving the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: None todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Vaccination site nodule — Feeling: GoodFree text: 8 days after my vaccine my left arm at the vaccination site got itchy and developed a red patch and hard knot. Mine was a relatively small area. No pain or discomfort. Just itchy. A mild version of COVID arm? My sister developed, also much the same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
-
2021-03-16
Dose 2 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-10-25
Dose 3 — Moderna
- 2022-03-16
-
2022-04-27
Dose 4 — Pfizer-BioNTech
-
2022-05-04
Survey response — day 7, dose 4MedDRA: Fatigue, Injection site pain, Myalgia, Pain — Feeling: GoodFree text: The three days after I received the injection I did feel arm soreness at the injection site as well as general fatigue and tirednesses. Mild muscle and body aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-24
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
- 2022-10-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I had a very high blood sugar if 350 2 1/2 hours after receiving the vaccine.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): None today
Release 4 — day 14, dose 1
Symptoms: 8 days after my vaccine my left arm at the vaccination site got itchy and developed a red patch and hard knot. Mine was a relatively small area. No pain or discomfort. Just itchy. A mild version of COVID arm? My sister developed, also much the same. cut off by CDC
Release 11 — day 7, dose 4
Systemic reaction (other): The three days after I received the injection I did feel arm soreness at the injection site as well as general fatigue and tirednesses. Mild muscle and body aches.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Vaccination site nodule | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release