2HQ-28259-73191
1 vaccination
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 287 / NC
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Registered in v-safe
-
2021-05-03
Dose 1 — Moderna
- 2021-05-03
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2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fever · Chills, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-10
Health check-in — day 7, dose 1Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-17
Survey response — day 14, dose 1MedDRA: Arthralgia, Chills, Dizziness, Heart rate increased, Joint swelling, Nausea, Pain in extremity, Pyrexia, Skin lesion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I suffered from: skin lesions, extreme pain in ankles/feet, swelling & painful knees, high fever spiking, resting heart rate spiking above 120bpm, no decrease to fevers/chills, slight nausea & dizziness, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-24
Survey response — day 21, dose 1MedDRA: Arthralgia, Joint swelling, Pyrexia, Tachycardia — Feeling: Fair · Be unable to workFree text: My ankles have continued to be swollen & my ankle joints are in varying stages of great pain. I still have random slight fevers & mild tachycardia, mostly when I sleep but definitely at parts of my day when Im idle during work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 8 — day 14, dose 1
Symptoms: I suffered from: skin lesions, extreme pain in ankles/feet, swelling & painful knees, high fever spiking, resting heart rate spiking above 120bpm, no decrease to fevers/chills, slight nausea & dizziness, etc.
Release 8 — day 21, dose 1
Symptoms: My ankles have continued to be swollen & my ankle joints are in varying stages of great pain. I still have random slight fevers & mild tachycardia, mostly when I sleep but definitely at parts of my day when Im idle during work.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin lesion | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release