26Z-19393-06597
3 vaccinations
7 coded responses
8 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-04
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
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2021-01-04
Survey response — day 0, dose 1MedDRA: Agitation, Dizziness, Fatigue, Feeling cold — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy for a little while about one hour after the shot and really amped up about four hours after the shot followed by feeling a bit cold and having to put a jacket on in the office and then feeling tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Woke up very sore this morning all over with a headache. No chill since The afternoon of the day before. Now at end of day to energy is returning and feeling better to about 80 out of 100%.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: Symptoms much milder yesterday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
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2021-02-04
Dose 2 — Moderna
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2021-11-22
Dose 3 — Moderna
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2021-11-22
Survey response — day 0, dose 3MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The movement in my hands related to my arthritis seems significantly worse than usual.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arthritis being more painful arthritis being more painful in both hands is still very noticeable.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 7, dose 3MedDRA: Arthritis — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The arthritis in both hands and forearms is hurting less now.MedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID POSITIVEMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-04 | Moderna | No |
| 3 | 2021-11-22 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Dizzy for a little while about one hour after the shot and really amped up about four hours after the shot followed by feeling a bit cold and having to put a jacket on in the office and then feeling tired.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up very sore this morning all over with a headache. No chill since The afternoon of the day before. Now at end of day to energy is returning and feeling better to about 80 out of 100%.
Systemic reaction (other): Symptoms much milder yesterday and today.
Release 10 — day 0, dose 3
Systemic reaction (other): The movement in my hands related to my arthritis seems significantly worse than usual.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arthritis being more painful arthritis being more painful in both hands is still very noticeable.
Release 10 — day 7, dose 3
Systemic reaction (other): The arthritis in both hands and forearms is hurting less now.
Release 11 — 6 months, dose 3
Symptoms: COVID POSITIVE
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 | COVID-19 | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Energy increased | ○ | ○ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release