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26T-96627-34725

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
777 / TX
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Discomfort — Feeling: Fair · Site: Pain
    Free text: I had the injection in arm near left shoulder. I sleep on my left side so it was uncomfortable and made sleeping sketchy.. weird dreams but don't know if that's related to the content of the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fibromyalgia, Migraine, Nodule — Feeling: Fair · Site: Pain
    Free text: I have had more injection site area reaction than I think I've ever had. It felt like a nearby area of my arm had a knot in the tissue. I have rubbed/massaged the area of my arm and hope it won't affect my rest tonight. As for other things, I have chronic migraine & fibromyalgia and to be fair, those may be playing a part in how that area of my arm feels. Maybe so, maybe not. Regardless, I hope the secondary effects subside and that there won't be other effect than the expected boost to immunity that's supposed to happen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Injection site reaction — Feeling: Fair
    Free text: I don't know if this had some effect on my stomach where I had an ulcer, now scar tissue, but, I didn't eat solid food yesterday. That may be a little better today but, we'll see how tomorrow goes. Arm is mostly back to normal at injection location. My Dad (Alzheimer's) is now not eating or being able to wake up. I don't have a test result to show them so if I drove over there I'd be geared up and only able to indirectly touch him. I wouldn't want him to wake up and see someone (me) in a hazmat-type ppe and have that be our last shared experience. He survived COVID but, like with his wife.. afterwards the pre-existing conditions were able to be opportune and speed up their decline. She's gone now since Dec 10th of '20 and now he's about to go too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-04-06
    Dose 2 — Moderna
  10. 2021-04-20
    Survey response — day 14, dose 2
    MedDRA: Fibromyalgia, Migraine, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I've been having a hard time dealing with my migraines and fibromyalgia. They're difficult normally but have seemed worse while my systems are reacting to adapt. I'm sure stresses of the continuing isolation and those who doubt science .. stress etc
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-05-04
    Survey response — day 28, dose 2
    MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Fair
    Free text: I've been thinking it's pollen (and it may be) except I don't normally have this amount of throat clearing during spring. Stomach situation isn't great and I expect to need another stomach procedure re ulcer scar tissue. The 2nd was to have been last
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-11
    Survey response — day 35, dose 2
    MedDRA: Abdominal discomfort, Medical counselling, Scar — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I'm having worsening issues with my stomach (scar tissue from ulcer). It looks like I will have to have another procedure to try to open the stomach's exit to the rest of the digestive system so I can eat normally again. · Healthcare visit (other): I'll have to call the gastro doctor again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-11
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  16. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Poor
    Adult check-in
  18. 2022-05-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): I had the injection in arm near left shoulder. I sleep on my left side so it was uncomfortable and made sleeping sketchy.. weird dreams but don't know if that's related to the content of the injection.

2021-03-11

Systemic reaction (other): I have had more injection site area reaction than I think I've ever had. It felt like a nearby area of my arm had a knot in the tissue. I have rubbed/massaged the area of my arm and hope it won't affect my rest tonight. As for other things, I have chronic migraine & fibromyalgia and to be fair, those may be playing a part in how that area of my arm feels. Maybe so, maybe not. Regardless, I hope the secondary effects subside and that there won't be other effect than the expected boost to immunity that's supposed to happen.

2021-03-13

Systemic reaction (other): I don't know if this had some effect on my stomach where I had an ulcer, now scar tissue, but, I didn't eat solid food yesterday. That may be a little better today but, we'll see how tomorrow goes. Arm is mostly back to normal at injection location. My Dad (Alzheimer's) is now not eating or being able to wake up. I don't have a test result to show them so if I drove over there I'd be geared up and only able to indirectly touch him. I wouldn't want him to wake up and see someone (me) in a hazmat-type ppe and have that be our last shared experience. He survived COVID but, like with his wife.. afterwards the pre-existing conditions were able to be opportune and speed up their decline. She's gone now since Dec 10th of '20 and now he's about to go too.

Release 7 — day 14, dose 2

2021-04-20

Symptoms: I've been having a hard time dealing with my migraines and fibromyalgia. They're difficult normally but have seemed worse while my systems are reacting to adapt. I'm sure stresses of the continuing isolation and those who doubt science .. stress etc cut off by CDC

Release 8 — day 28, dose 2

2021-05-04

Symptoms: I've been thinking it's pollen (and it may be) except I don't normally have this amount of throat clearing during spring. Stomach situation isn't great and I expect to need another stomach procedure re ulcer scar tissue. The 2nd was to have been last cut off by CDC

Release 8 — day 35, dose 2

2021-05-11

Symptoms: I'm having worsening issues with my stomach (scar tissue from ulcer). It looks like I will have to have another procedure to try to open the stomach's exit to the rest of the digestive system so I can eat normally again.
Healthcare visit (other): I'll have to call the gastro doctor again.

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
HCVOMedical counselling ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDFibromyalgia ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDScar ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAbnormal dreams ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SRONodule ✓ ✓ ✓

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