Y4R-17173-14579
5 vaccinations
14 coded responses
55 check-ins
14 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 740 / OK
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Painful, swollen finger on arm of injection. I am HLA-B21 positive and receiving treatment for spondyliarthropathy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: HLA marker study positive, Pain in extremity, Peripheral swelling, Spondyloarthropathy — Feeling: Good · Site: Pain · Joint painsFree text: Painful and swollen finger on the injection arm. Less severe than yesterday. HLA-B21 positive receiving treatment for spondyloarthropathy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Pre-existing disease — Feeling: GoodFree text: Slightly painful finger on injected arm. I am HLA-B27 positive currently receiving treatment for spondyloarthropathy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Spondyloarthropathy — Feeling: Good · Joint painsFree text: SpondyloarthropathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Spondyloarthropathy — Feeling: Good · Joint painsFree text: Pre existing, active spondyloarthropathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Spondyloarthropathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Hla b27 positive spondyloarthropathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, HLA marker study positive, Pre-existing disease — Feeling: Good · Site: Pain · Fever · Joint painsFree text: Hla-b21 positive spondyloarthropathy flareupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: Spondy flareupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Spinal osteoarthritis — Feeling: Good · Joint painsFree text: Spondy flareupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Spinal osteoarthritis — Feeling: Good · Joint painsFree text: Spondy flareupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 2MedDRA: Condition aggravated — Feeling: Good · Joint painsFree text: Spondy flareup (unrelated)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-25
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2021-04-01
Survey response — day 28, dose 2MedDRA: Condition aggravated, Pre-existing disease, Spondyloarthropathy — Feeling: GoodFree text: Spondyloarthropathy flare-ups that are slightly more frequent/severe than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 35, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Strong spondylitis flareup, stronger than my usual during prior spring seasons.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-03
- 2021-09-02
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2021-11-16
Dose 3 — Moderna
- 2021-11-16
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-11-18
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-20
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
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2022-05-05
Dose 4 — Moderna
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
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2022-08-04
Survey response — 3 months, dose 4MedDRA: Blood thyroid stimulating hormone increased — Feeling: FairFree text: elevated TSHMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Dose 5 — ModernaCo-administered: Flu
- 2022-11-03
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
| 5 | 2022-10-28 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Painful, swollen finger on arm of injection. I am HLA-B21 positive and receiving treatment for spondyliarthropathy.
Systemic reaction (other): Painful and swollen finger on the injection arm. Less severe than yesterday. HLA-B21 positive receiving treatment for spondyloarthropathy.
Systemic reaction (other): Slightly painful finger on injected arm. I am HLA-B27 positive currently receiving treatment for spondyloarthropathy.
Systemic reaction (other): Spondyloarthropathy
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pre existing, active spondyloarthropathy
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Hla b27 positive spondyloarthropathy
Systemic reaction (other): Hla-b21 positive spondyloarthropathy flareup
Systemic reaction (other): Spondy flareup
Systemic reaction (other): Spondy flareup
Systemic reaction (other): Spondy flareup
Release 5 — day 7, dose 2
Systemic reaction (other): Spondy flareup (unrelated)
Release 6 — day 28, dose 2
Symptoms: Spondyloarthropathy flare-ups that are slightly more frequent/severe than usual.
Release 7 — day 35, dose 2
Symptoms: Strong spondylitis flareup, stronger than my usual during prior spring seasons.
Release 12 — 3 months, dose 4
Symptoms: elevated TSH
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 | Blood thyroid stimulating hormone increased | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Spondyloarthropathy | ○ | ✓ | ○ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | HLA marker study positive | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Spinal osteoarthritis | ✓ | ✓ | ✓ |
| SRO | Spondyloarthropathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release