23M-18073-41547
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 298 / SC
- Registered
- 2021-08-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-10
Registered in v-safe
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2021-08-10
Dose 1 — Moderna
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2021-08-10
Survey response — day 0, dose 1MedDRA: Headache — Feeling: GoodFree text: Very Slight/ Mild headache but I get those from time to time anywayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-12
- 2021-08-13
- 2021-08-14
- 2021-08-15
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2021-08-17
Survey response — day 7, dose 1MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Muscle or body achesFree text: Neck is sore and stiff but I believe it is unrelatedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
- 2021-08-31
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2021-09-07
Survey response — day 28, dose 1MedDRA: Diarrhoea, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: PoorFree text: Sinus Congestion, then Very runny nose then sore throat for the last 3 days. Also currently experiencing diarrheaMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Survey response — day 35, dose 1MedDRA: SARS-CoV-2 test negative, Sinusitis, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Was diagnosed with a viral sinus infection, got tested for Covid 19. Results negative. Was prescribed antibiotics and steroids. They did the trick. Feeling 100% better todayMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Report sent to call center — day 35, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-09-23
Survey response — day 42, dose 1MedDRA: Cough — Feeling: FairFree text: Hacking CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
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2022-08-10
Survey response — 12 months, dose 1MedDRA: Anosmia, Fatigue, SARS-CoV-2 test negative — Feeling: GoodFree text: Lost smell and felt really tired a couple of weeks ago. Did a Covid Test and the results came back negative. So I guess is was something else. Feeling normal nowMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Very Slight/ Mild headache but I get those from time to time anyway
Release 9 — day 7, dose 1
Systemic reaction (other): Neck is sore and stiff but I believe it is unrelated
Release 9 — day 28, dose 1
Symptoms: Sinus Congestion, then Very runny nose then sore throat for the last 3 days. Also currently experiencing diarrhea
Release 9 — day 35, dose 1
Symptoms: Was diagnosed with a viral sinus infection, got tested for Covid 19. Results negative. Was prescribed antibiotics and steroids. They did the trick. Feeling 100% better today
Release 9 — day 42, dose 1
Symptoms: Hacking Cough
Release 12 — 12 months, dose 1
Symptoms: Lost smell and felt really tired a couple of weeks ago. Did a Covid Test and the results came back negative. So I guess is was something else. Feeling normal now
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | · | ✓ |
| SRO | Neck pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release