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Y79-18150-17234

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
339 / FL
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-01-28
    Survey response — day 14, dose 1
    MedDRA: Hypersensitivity — Feeling: Good
    Free text: Just feel like have seasonal allergies. Nothing more than as usual this time of year. Also was told ok to donate blood 2 days after vaccination . Hopefully true had no adverse affects from that . Was also a very good experience line went fast .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-11
    Dose 2 — Moderna
  7. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster, Varicella — Feeling: Good
    Free text: Never had shingles before or chicken pox but expiriecef like ripping pain from like hair follicles temporary past couple days .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Abnormal sleep-related event — Feeling: Good · Fatigue or tiredness
    Free text: Went to bed at 9 oclock not like me sleep usually starts after midnight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Free text

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Just feel like have seasonal allergies. Nothing more than as usual this time of year. Also was told ok to donate blood 2 days after vaccination . Hopefully true had no adverse affects from that . Was also a very good experience line went fast .

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Never had shingles before or chicken pox but expiriecef like ripping pain from like hair follicles temporary past couple days .

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Went to bed at 9 oclock not like me sleep usually starts after midnight

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
SDHypersensitivity ✓ ✓ ✓
SROAbnormal sleep-related event ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SROVaricella ✓ ✓ ✓

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