24A-18470-66305
4 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 502 / IA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Hot flush, Hyperhidrosis — Feeling: Good · Site: PainFree text: hot flashes? felt hot/sweatier than normal even though air and body temperature were normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 21, dose 2MedDRA: Pain, Paranasal sinus discomfort, Sneezing — Feeling: GoodFree text: From 5/13 to 5/16 had body aches, sinus pressure and sneezing without fever. I don't have any known allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-02
- 2021-06-08
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2021-07-27
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Possible kidney/bladder stoneMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Survey response — 6 months, dose 2MedDRA: Chest discomfort, Nasopharyngitis, Nephrolithiasis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Kidney stone - August 2nd Bad cold October 11-24 - Congestion and tightness in chest lasted 2 weeks, fever on first day only. Covid test negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-17
Dose 3 — Moderna
- 2022-04-27
-
2022-10-13
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-13
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2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
-
2022-11-10
Survey response — day 28, dose 4MedDRA: Fatigue, Nasopharyngitis, Sinus congestion, Sneezing — Feeling: FairFree text: Cold-like symptoms. Fatigue, sinus congestion, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2022-11-24
- 2023-01-13
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2022-01-17 | Moderna | No |
| 4 | 2022-10-13 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): hot flashes? felt hot/sweatier than normal even though air and body temperature were normal
Release 8 — day 21, dose 2
Symptoms: From 5/13 to 5/16 had body aches, sinus pressure and sneezing without fever. I don't have any known allergies.
Release 9 — 3 months, dose 2
Symptoms: Possible kidney/bladder stone
Release 10 — 6 months, dose 2
Symptoms: Kidney stone - August 2nd Bad cold October 11-24 - Congestion and tightness in chest lasted 2 weeks, fever on first day only. Covid test negative
Release 12 — day 28, dose 4
Symptoms: Cold-like symptoms. Fatigue, sinus congestion, sneezing
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 | Chest discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release