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
-
2021-03-05
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tirednessFree text: MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Respiratory tract congestion — Feeling: Good · Joint painsFree 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
-
2021-04-02
Survey response — day 28, dose 1MedDRA: Asthenia, Hypoaesthesia — Feeling: FairFree 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
-
2021-04-06
Dose 2 — Moderna
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Day after vaccination, experienced headache, fatigue and body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 21, dose 2MedDRA: Contusion — Feeling: GoodFree text: Have bruising on my left forearm. Wouldn't think of a relation but it's the same arm as the second injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild
Systemic reaction (other): Joimt pain at right elbow- moderate. Yesterday, I had fairly bad chest congestion.
Release 6 — day 28, dose 1
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
Systemic reaction (other): Day after vaccination, experienced headache, fatigue and body aches
Release 8 — day 21, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release