2GM-21799-28132
5 vaccinations
16 coded responses
62 check-ins
15 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
- 2021-01-21
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-01-24
- 2021-01-25
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-02-04
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2021-02-11
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-20
Dose 2 — Moderna
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiffness in my lower back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 7, dose 2MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiffness in my lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-14
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2021-03-20
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Headache — Feeling: FairFree text: Headache and upset stomach. Might be allergy related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-05-22
- 2021-08-21
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2021-10-27
Dose 3 — ModernaCo-administered: Other
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body achesFree text: The evening of the last two vaccines (Moderna & whooping cough), I had pain on the right side of my stomach that awakened me from a sound sleep. It lasted about an hour.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-03
- 2021-11-11
- 2021-11-17
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2021-11-24
Survey response — day 28, dose 3MedDRA: Muscle spasms — Feeling: FairFree text: Cramping in my right calf.MedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 35, dose 3MedDRA: Abdominal pain upper, Arthralgia, Bone pain, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Four days of diarrhea (which might have been from Salmonella from the Thanksgiving turkey). Stomach pain, joint pain and pain in leg bones.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — day 42, dose 3MedDRA: Abdominal distension, Diarrhoea, Flatulence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have had diarrhea, gas and bloating for 12 days.MedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea which might have been related to a colonoscopy three days earlier.MedDRA releases: 2024-11 · check-in free text available
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2022-03-31
Dose 4 — Moderna
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2022-04-01
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Pain in the joint on the right side of my jaw.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-15
- 2022-04-21
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2022-04-28
Survey response — day 28, dose 4MedDRA: Abdominal discomfort, Abdominal distension, Flatulence, Gastrointestinal disorder — Feeling: FairFree text: Intestinal distress and discomfort with more on the left side, gas and bloating, but normal bowel movements.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — day 35, dose 4MedDRA: Abdominal distension, Flatulence, Frequent bowel movements — Feeling: FairFree text: Gas, bloating, and more frequent bowel movements.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
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2022-06-30
Survey response — 3 months, dose 4MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A rash on my right side just above the waist.MedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-01
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2022-07-07
Call successfulDoes not wish to fill out VAERS report
- 2022-09-29
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2022-10-16
Dose 5 — Pfizer-BioNTech
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-11-01
- 2022-11-06
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2022-11-14
Survey response — day 28, dose 5MedDRA: Sinusitis — Feeling: GoodFree text: A sinus infection.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-11-27
- 2023-01-15
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-27 | Moderna | Other |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-10-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 21, dose 1
Symptoms: Fatigue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Stiffness in my lower back.
Release 4 — day 7, dose 2
Systemic reaction (other): Stiffness in my lower back
Release 6 — day 28, dose 2
Symptoms: Fatigue
Release 6 — day 35, dose 2
Symptoms: Headache and upset stomach. Might be allergy related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The evening of the last two vaccines (Moderna & whooping cough), I had pain on the right side of my stomach that awakened me from a sound sleep. It lasted about an hour.
Release 10 — day 28, dose 3
Symptoms: Cramping in my right calf.
Release 10 — day 35, dose 3
Symptoms: Four days of diarrhea (which might have been from Salmonella from the Thanksgiving turkey). Stomach pain, joint pain and pain in leg bones.
Release 10 — day 42, dose 3
Symptoms: Have had diarrhea, gas and bloating for 12 days.
Release 11 — 3 months, dose 3
Symptoms: Diarrhea which might have been related to a colonoscopy three days earlier.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Pain in the joint on the right side of my jaw.
Release 11 — day 28, dose 4
Symptoms: Intestinal distress and discomfort with more on the left side, gas and bloating, but normal bowel movements.
Release 11 — day 35, dose 4
Symptoms: Gas, bloating, and more frequent bowel movements.
Release 12 — 3 months, dose 4
Symptoms: A rash on my right side just above the waist.
Release 12 — day 28, dose 5
Symptoms: A sinus infection.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release