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22Z-29619-72113

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
491 / MI
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Felt just a little light headed right after the shot but cleared up quickly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Feeling of brain fog today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Headache, Self-medication — Feeling: Good · Site: Pain
    Free text: Really felt quite bad last night headache 7 or 8 on a scale of 10 and brain fog - took 400 ibuprofen and bed early felt much better today!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Feel good today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-16
    Survey response — day 7, dose 1
    MedDRA: Headache — Feeling: Fair · Headache
    Free text: Not sure that my headache is related to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-07
    Dose 2 — Moderna
  13. 2021-05-07
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Influenza like illness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Just felt really tired today like I was coming down with the flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-06
    Survey response — 6 months, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Possibly more frequent headaches
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Felt just a little light headed right after the shot but cleared up quickly

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Feeling of brain fog today

2021-04-11

Systemic reaction (other): Really felt quite bad last night headache 7 or 8 on a scale of 10 and brain fog - took 400 ibuprofen and bed early felt much better today!

2021-04-14

Systemic reaction (other): Feel good today

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Not sure that my headache is related to the vaccine

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Just felt really tired today like I was coming down with the flu

Release 10 — 6 months, dose 2

2021-11-06

Symptoms: Possibly more frequent headaches

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
SDHeadache · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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