29X-13995-39251
4 vaccinations
8 coded responses
43 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 058 / VT
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Very slight lightheadedness but I did not eat breakfast prior to the vaccine. That sensation went away late this afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: RednessFree text: Late last night and until this morning I had overall body ache. Since early this morning it gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: None. All previous symptoms seem to be gone or not perceptible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: RednessFree text: I actually have noticed a red circular raised mark around the injection site exactly the size of the bandade laced on my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Slight lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-12
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 1MedDRA: Dizziness, Headache — Feeling: GoodFree text: Don't know if it has anything to do with the vaccine. Dull headache and very slight dizziness. Comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Influenza like illness, Loss of personal independence in daily activities, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Yesterday afternoon I had a headache, mild at the back of my head which went away after a few hours. A couple of hours later I began to feel the body aches and flu like symptoms that I have been feeling all day today. I have not been able to do much other than stay in bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: So far, all previously discussed reactions are gone as of approx. 48 hrs of the 2nd vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-16
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-03
- 2021-09-30
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2021-11-01
Dose 3 — Moderna
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-03
- 2021-11-04
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
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2022-09-14
Dose 4 — Pfizer-BioNTech
- 2022-10-06
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-09-14 | Pfizer-BioNTech | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Very slight lightheadedness but I did not eat breakfast prior to the vaccine. That sensation went away late this afternoon.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Late last night and until this morning I had overall body ache. Since early this morning it gone.
Systemic reaction (other): None. All previous symptoms seem to be gone or not perceptible.
Systemic reaction (other): I actually have noticed a red circular raised mark around the injection site exactly the size of the bandade laced on my arm.
Systemic reaction (other): Slight lightheadedness
Release 6 — day 21, dose 1
Symptoms: Don't know if it has anything to do with the vaccine. Dull headache and very slight dizziness. Comes and goes.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday afternoon I had a headache, mild at the back of my head which went away after a few hours. A couple of hours later I began to feel the body aches and flu like symptoms that I have been feeling all day today. I have not been able to do much other than stay in bed.
Systemic reaction (other): So far, all previously discussed reactions are gone as of approx. 48 hrs of the 2nd vaccination.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release