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Y58-87015-40960

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
068 / CT
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness
    Free text: Mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Respiratory tract congestion — Feeling: Good · Joint pains
    Free text: Joimt pain at right elbow- moderate. Yesterday, I had fairly bad chest congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-02
    Survey response — day 28, dose 1
    MedDRA: Asthenia, Hypoaesthesia — Feeling: Fair
    Free text: 4 days after first vaccine, I experienced some numbness in my neck near the injection. Yesterday, I noticed a loss of strength in my right hand. Continued into today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-06
    Dose 2 — Moderna
  7. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Day after vaccination, experienced headache, fatigue and body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-27
    Survey response — day 21, dose 2
    MedDRA: Contusion — Feeling: Good
    Free text: Have bruising on my left forearm. Wouldn't think of a relation but it's the same arm as the second injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-06Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Mild

2021-03-11

Systemic reaction (other): Joimt pain at right elbow- moderate. Yesterday, I had fairly bad chest congestion.

Release 6 — day 28, dose 1

2021-04-02

Symptoms: 4 days after first vaccine, I experienced some numbness in my neck near the injection. Yesterday, I noticed a loss of strength in my right hand. Continued into today.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Day after vaccination, experienced headache, fatigue and body aches

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Have bruising on my left forearm. Wouldn't think of a relation but it's the same arm as the second injection

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
SDAsthenia ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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