24L-71604-46489
4 vaccinations
5 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Parosmia — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: An odd smell in my noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity — Feeling: Good · Headache, Joint painsFree text: I seem to have had an allergic reaction to some food last. Not a normal response to eating for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
-
2021-02-01
Survey response — day 0, dose 2MedDRA: Mouth ulceration — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: I realized that I have had mouth ulcers, different outbreak, each week since the first injection. Dont know if its related, but it very unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-04
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-25
- 2021-03-01
-
2021-03-08
Survey response — day 35, dose 2MedDRA: Mouth ulceration — Feeling: GoodFree text: Not sure if this is related to the vaccines. Since I received the first vaccine, I have been getting mouth ulcers once a week or every 2 weeks. Very unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2022-01-04
Dose 3 — Pfizer-BioNTech
- 2022-02-01
-
2022-10-03
Dose 4 — Moderna
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-25
- 2022-10-31
- 2022-11-07
- 2022-11-14
-
2023-01-02
Survey response — 3 months, dose 4MedDRA: Body temperature decreased, Cough, Headache, Myalgia, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-02
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-03
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2022-01-04 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): An odd smell in my nose
Systemic reaction (other): I seem to have had an allergic reaction to some food last. Not a normal response to eating for me.
Release 3 — day 0, dose 2
Systemic reaction (other): I realized that I have had mouth ulcers, different outbreak, each week since the first injection. Dont know if its related, but it very unusual for me.
Release 5 — day 35, dose 2
Symptoms: Not sure if this is related to the vaccines. Since I received the first vaccine, I have been getting mouth ulcers once a week or every 2 weeks. Very unusual for me.
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 | Body temperature decreased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mouth ulceration | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Mouth ulceration | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release