26M-29757-55605
4 vaccinations
4 coded responses
35 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
- 2021-04-12
-
2021-04-20
Dose 2 — Moderna
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: Dermatitis contact, Genital herpes, Neuralgia — Feeling: GoodFree text: Rash from poison ivy with a genital herpes Event at the same time. Nerve pain at the poison ivy site 10 days plus post treatment.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
-
2021-11-04
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
-
2021-11-18
Survey response — day 14, dose 3MedDRA: Dyspnoea, Reaction to previous exposure to any vaccine — Feeling: FairFree text: Mild shortness of breath, milder than a 7 day period during my first two Moderna shots. Very very mild yet present 2 days so far.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Survey response — day 21, dose 3MedDRA: Dyspnoea, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Continued mild SOB at times. This is #3 yet #1 I had consistent SOB (mild yet often) similar to this symptom today, yet about twice per few days not multiple times dailyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-09
-
2021-12-16
Survey response — day 42, dose 3MedDRA: Asthenia, Dyspnoea — Feeling: GoodFree text: Generalized weakness, mild shortness of breath moments.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
-
2022-04-08
Dose 4 — Moderna
- 2022-04-19
- 2022-04-22
- 2022-04-29
- 2022-05-08
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-09
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Rash from poison ivy with a genital herpes Event at the same time. Nerve pain at the poison ivy site 10 days plus post treatment.
Release 10 — day 14, dose 3
Symptoms: Mild shortness of breath, milder than a 7 day period during my first two Moderna shots. Very very mild yet present 2 days so far.
Release 10 — day 21, dose 3
Symptoms: Continued mild SOB at times. This is #3 yet #1 I had consistent SOB (mild yet often) similar to this symptom today, yet about twice per few days not multiple times daily
Release 10 — day 42, dose 3
Symptoms: Generalized weakness, mild shortness of breath moments.
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 | Asthenia | · | · | ✓ |
| SD | Dermatitis contact | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Genital herpes | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release