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GJN-32231-56177

4 vaccinations 4 coded responses 31 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
953 / CA
Registered
2021-02-25
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Hypotension — Feeling: Fair
    Free text: Slightly dizzy. Low BP.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Site: Pain
    Free text: Fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Extrasystoles — Feeling: Good
    Free text: Ectopic heartbeat for 20 seconds in the morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-25
    Dose 2 — Moderna
  12. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Slight chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-29
    Dose 3 — Moderna
  27. 2022-03-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-04-06
    Dose 4 — Moderna
  29. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-04-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-07-06
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-10-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-04-06
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32022-01-29Moderna No
42022-04-06Moderna No

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Slightly dizzy. Low BP.

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Fatigued

2021-02-28

Systemic reaction (other): Ectopic heartbeat for 20 seconds in the morning.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Slight chest pain

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

FieldPreferred term2021-092023-042024-11
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROExtrasystoles ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypotension ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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