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YEM-23506-89379

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
900 / CA
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Survey response — day 0, dose 1
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains
    Free text: Finger joints on left hand slightly sore. Injection was to left arm. Right hand is unaffected.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Mobility decreased, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: Sunday was much worse. Pain limited use of my left arm, and I had general aching. Today it is just the arm and my use of it is not limited.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Dose 2 — Moderna
  13. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: This is probably unrelated but my cornea was scratched due to an accumulation of dried eye productions that functioned like sand to damage the eye. This happened once before, before I had received any inoculation for COVID.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flushing, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: The rash was very light red on my arms and legs. It was hard to distinguish from mere flushing, but it was not normal. It went away in a few hours. Hardly any itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: The rash once again comes and goes and is just a slight redness in mostly forearms and lower legs. Skin feels subtly different but there is no pain or itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-03-27
    Survey response — 12 months, dose 2
    MedDRA: Chalazion, Eyelid disorder, Meibomian gland dysfunction — Feeling: Good
    Free text: Meibomian gland dysfunction affecting eyelids and related chelazion.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna

Free text

Release 4 — day 0, dose 1

2021-02-27

Systemic reaction (other): Finger joints on left hand slightly sore. Injection was to left arm. Right hand is unaffected.

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Sunday was much worse. Pain limited use of my left arm, and I had general aching. Today it is just the arm and my use of it is not limited.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): This is probably unrelated but my cornea was scratched due to an accumulation of dried eye productions that functioned like sand to damage the eye. This happened once before, before I had received any inoculation for COVID.

2021-03-31

Systemic reaction (other): The rash was very light red on my arms and legs. It was hard to distinguish from mere flushing, but it was not normal. It went away in a few hours. Hardly any itching.

2021-04-01

Systemic reaction (other): The rash once again comes and goes and is just a slight redness in mostly forearms and lower legs. Skin feels subtly different but there is no pain or itching.

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Meibomian gland dysfunction affecting eyelids and related chelazion.

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
SDChalazion · · ✓
SDEyelid disorder · · ✓
SDMeibomian gland dysfunction · · ✓
SROArthralgia ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROInjection site pain ○ ✓ ○
SROMobility decreased ✓ · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ · ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓

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