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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

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Moderna
  3. 2021-01-04
    Survey response — day 0, dose 1
    MedDRA: 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 activities
    Free 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
  4. 2021-01-04
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free 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
  6. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain
    Free text: Symptoms much milder yesterday and today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Dose 2 — Moderna
  9. 2021-11-22
    Dose 3 — Moderna
  10. 2021-11-22
    Survey response — day 0, dose 3
    MedDRA: 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 activities
    Free text: The movement in my hands related to my arthritis seems significantly worse than usual.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free 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
  12. 2021-11-29
    Survey response — day 7, dose 3
    MedDRA: Arthritis — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: The arthritis in both hands and forearms is hurting less now.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-24
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: COVID POSITIVE
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-04Moderna No
32021-11-22Moderna No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

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

2021-01-05

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%.

2021-01-07

Systemic reaction (other): Symptoms much milder yesterday and today.

Release 10 — day 0, dose 3

2021-11-22

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

2021-11-23

Systemic reaction (other): Arthritis being more painful arthritis being more painful in both hands is still very noticeable.

Release 10 — day 7, dose 3

2021-11-29

Systemic reaction (other): The arthritis in both hands and forearms is hurting less now.

Release 11 — 6 months, dose 3

2022-05-24

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SROAdverse reaction ✓ ✓ ✓
SROAgitation ✓ ✓ ✓
SROArthritis · · ✓
SRODizziness ✓ ✓ ✓
SROEnergy increased ○ ○ ○
SROFatigue ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease · · ✓
SROUnevaluable event ○ ○ ○

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