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26B-81587-32697

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
210 / MD
Registered
2021-03-30
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Moderna
  3. 2021-03-30
    Survey response — day 0, dose 1
    MedDRA: Nausea — Feeling: Good · Nausea
    Free text: The nausea was also present before the injection and has since subsided. Its common for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Condition aggravated — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Bad back pain. Had it for a while but its significantly worse than normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Pre-existing disease — Feeling: Good · Muscle or body aches
    Free text: Back pain but that was present before the shot, however it has worsened.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-05-04
    Dose 2 — Moderna
  15. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  20. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-15
    Survey response — day 42, dose 2
    MedDRA: Back pain — Feeling: Good
    Free text: Little bit of pain in my back on the right in the ribs. Not worsened by breathing deep or coughing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-02
    Survey response — 6 months, dose 2
    MedDRA: Conjunctivitis, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sinus infection and Conjunctivitis both of which were treated with antibiotics and both are gone.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-02
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2021-11-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-05-04Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): The nausea was also present before the injection and has since subsided. Its common for me.

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Bad back pain. Had it for a while but its significantly worse than normal.

2021-04-02

Systemic reaction (other): Back pain but that was present before the shot, however it has worsened.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Little bit of pain in my back on the right in the ribs. Not worsened by breathing deep or coughing.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Sinus infection and Conjunctivitis both of which were treated with antibiotics and both are gone.

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
SDBack pain ✓ ✓ ✓
SDConjunctivitis · · ✓
SDSinusitis · · ✓
SROBack pain ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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