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
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Discomfort — Feeling: Fair · Site: PainFree 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
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Migraine, Nodule — Feeling: Fair · Site: PainFree 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
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Injection site reaction — Feeling: FairFree 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
- 2021-03-26
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
-
2021-04-20
Survey response — day 14, dose 2MedDRA: Fibromyalgia, Migraine, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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 etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
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2021-05-04
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: FairFree 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 lastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Medical counselling, Scar — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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
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2021-05-11
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
- 2021-10-07
- 2022-04-08
-
2022-05-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
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.
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.
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Scar | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release