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ZJ9-46911-35980

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
336 / FL
Registered
2021-07-23
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-07-23
    Registered in v-safe
  2. 2021-07-23
    Dose 1 — Moderna
  3. 2021-07-23
    Survey response — day 0, dose 1
    MedDRA: Limb discomfort — Feeling: Good
    Free text: Discomfort on the am that I got the vaccine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-07-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site discolouration, Injection site inflammation — Feeling: Good · Site: Swelling
    Free text: Discomfort and inflammation in the area were I got the shot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-07-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Mild Tiredness
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-07-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-07-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-07-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-07-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-07-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-06
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-08-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-08-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-08-28
    Dose 2 — Moderna
  15. 2021-08-28
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Injection site discomfort — Feeling: Fair · Site: Pain · Fever · Headache
    Free text: Discomfort in my arm were I had the shot and a minor headache early this morning thats about it. Ive been resting.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Injection site swelling — Feeling: Fair · Fever
    Free text: I had a fever of 100.2f last night and swelling were I got the shot. Today Im better.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-09-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discomfort — Feeling: Good
    Free text: Every now and then a lil discomfort on the arm were I had the shot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-09-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-09-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-04
    Survey response — day 35, dose 2
    MedDRA: Chest discomfort — Feeling: Fair
    Free text: Today I had a little discomfort in my chest, . That's about it.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-12
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-11-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-23Moderna No
22021-08-28Moderna No

Free text

Release 9 — day 0, dose 1

2021-07-23

Systemic reaction (other): Discomfort on the am that I got the vaccine

Release 9 — days 1–6 daily, dose 1

2021-07-24

Systemic reaction (other): Discomfort and inflammation in the area were I got the shot

2021-07-25

Systemic reaction (other): Mild Tiredness

Release 9 — days 1–6 daily, dose 2

2021-08-29

Systemic reaction (other): Discomfort in my arm were I had the shot and a minor headache early this morning thats about it. Ive been resting.

2021-08-30

Systemic reaction (other): I had a fever of 100.2f last night and swelling were I got the shot. Today Im better.

2021-09-01

Systemic reaction (other): Every now and then a lil discomfort on the arm were I had the shot

Release 10 — day 35, dose 2

2021-10-04

Symptoms: Today I had a little discomfort in my chest, . That's about it.

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
SDChest discomfort · · ✓
SROBody temperature increased ✓ · ✓
SROFatigue ✓ · ✓
SROHeadache ✓ · ✓
SROInjection site discolouration ✓ · ✓
SROInjection site discomfort ✓ · ✓
SROInjection site inflammation ✓ · ✓
SROInjection site swelling ✓ · ✓
SROLimb discomfort ✓ · ✓

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

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