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29C-27778-07754

4 vaccinations 4 coded responses 28 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
921 / CA
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  4. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-13
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-14
    Dose 2 — Moderna
  13. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Good · Site: Pain
    Free text: A little metallic taste in my mouth all week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-21
    Survey response — day 7, dose 2
    MedDRA: Chills, Dysgeusia, Fatigue, Pain — Feeling: Good
    Free text: 7 days ago after I got my 2nd dose, I experienced chills, body ache and fatigue for 48 hours afterwards until Tuesday. Ive experienced a minor metallic taste in my mouth during the past 7 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-07
    Dose 3 — Moderna
  23. 2022-03-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-05-25
    Dose 4 — Moderna
  25. 2022-06-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-06-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-16
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-06-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-07-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-08-24
    Survey response — 3 months, dose 4
    MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I contracted COVID on August 6th. The symptoms were low grade fever, sore throat, runny nose, sneezing, coughing and a light headache.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-08-24
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  33. 2022-08-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  34. 2022-11-23
    Survey response — 6 months, dose 4
    MedDRA: Unevaluable event, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: UTI · Healthcare visit (other): Blood and urinary analyses
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-11-23
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  36. 2022-11-25
  37. 2023-05-25
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-14Moderna
32021-11-07Moderna No
42022-05-25Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): A little metallic taste in my mouth all week.

Release 6 — day 7, dose 2

2021-03-21

Systemic reaction (other): 7 days ago after I got my 2nd dose, I experienced chills, body ache and fatigue for 48 hours afterwards until Tuesday. Ive experienced a minor metallic taste in my mouth during the past 7 days.

Release 12 — 3 months, dose 4

2022-08-24

Symptoms: I contracted COVID on August 6th. The symptoms were low grade fever, sore throat, runny nose, sneezing, coughing and a light headache.

Release 12 — 6 months, dose 4

2022-11-23

Symptoms: UTI
Healthcare visit (other): Blood and urinary analyses

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
HCVOUnevaluable event · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDUrinary tract infection · · ✓
SROChills ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓

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