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Y5F-24851-58304

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
234 / VA
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Eye pain, Headache, Pain, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activities
    Free text: Didnt start this until several day after shot. First 24 hours had fever of 102.0, headache, chills, body ache. Confined to bed. Opening eyes was painful. Same symptoms on day 2 with a fever of 100.7, still painful to open eyes and stuck in bed. Fever gone on day three and, by midday, felt great.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-11
    Dose 2 — Moderna
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Pyrexia — Feeling: Good
    Free text: Within 12 hours of vaccination, develop fever of 102 degrees. Also experienced chills, headache, mischief aches, fatigue, nausea, and diarrhea. Fever lasted about 30 hours. Was symptom free 3 days after being vaccinated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-11Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Didnt start this until several day after shot. First 24 hours had fever of 102.0, headache, chills, body ache. Confined to bed. Opening eyes was painful. Same symptoms on day 2 with a fever of 100.7, still painful to open eyes and stuck in bed. Fever gone on day three and, by midday, felt great.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Within 12 hours of vaccination, develop fever of 102 degrees. Also experienced chills, headache, mischief aches, fatigue, nausea, and diarrhea. Fever lasted about 30 hours. Was symptom free 3 days after being vaccinated.

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
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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