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2LC-81846-26362

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
275 / NC
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Registered in v-safe
  2. 2021-03-01
    Dose 1 — Moderna
  3. 2021-03-01
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Tried some yard work and got light-headed, sat and rested and it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Survey response — day 7, dose 1
    MedDRA: Dizziness exertional, Epistaxis — Feeling: Good · Fatigue or tiredness · Be unable to work
    Free text: Dizziness after exertion, I forgot to mention I have had two significant nosebleeds in the last few days, which I am not normally prone to.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — day 14, dose 1
    MedDRA: Ear inflammation, Paranasal sinus inflammation, Ulcer — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Might be coincidence but Ive had more sinus and ear canal inflammation lately, and an ulcer has flared up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Dose 2 — Moderna
  13. 2021-03-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Nosebleed at bedtime day of vaccine. Had two nosebleeds a couple days after first, not normally prone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches
    Adult check-in
  20. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-03-26
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-26Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Tried some yard work and got light-headed, sat and rested and it went away.

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Dizziness after exertion, I forgot to mention I have had two significant nosebleeds in the last few days, which I am not normally prone to.

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Might be coincidence but Ive had more sinus and ear canal inflammation lately, and an ulcer has flared up.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Nosebleed at bedtime day of vaccine. Had two nosebleeds a couple days after first, not normally prone.

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
SDEar inflammation ✓ ✓ ✓
SDParanasal sinus inflammation ✓ ✓ ✓
SDUlcer ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODizziness exertional ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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