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2LV-21227-45903

4 vaccinations 10 coded responses 41 check-ins 9 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
352 / AL
Registered
2021-01-29
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Already had a small headache prior to shot so may not be related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain · Headache
    Free text: Slight headache only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Dose 2 — Moderna
  14. 2021-02-24
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Gastrointestinal sounds abnormal, Malaise — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: 8 hours post, slight tiredness, slight malaise, stomach grumbling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspepsia — Feeling: Good
    Free text: Some Indigestion not typical for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Dyspepsia — Feeling: Good · Abdominal pain
    Free text: Had the abdominal pain since night of 2nd dose but it was fleeting and short lived, had it last night again and a little this am, but goes away quickly. Some indigestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain
    Free text: Improving intermittent abdominal pain, mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good · Abdominal pain
    Free text: Slight pain, improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  20. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-03-05
    Dose 3 — Moderna
  31. 2022-03-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-03-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Headache yesterday of unknown origin, may not be related.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-03-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-03-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-03-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-03-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-03-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-04-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-04
    Survey response — 3 months, dose 3
    MedDRA: Abdominal pain upper — Feeling: Good
    Free text: Recently (2-3 days ago) I had stomach pains that were reminiscent of my original COVID shot, like a GI bug. The symptoms passed after 2.5 days. That has resolved and feel back to myself. I was trying to report it then, so this came in time! Thanks!
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-09-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-10-01
    Dose 4 — Moderna
  45. 2023-03-05
    Survey response — 12 months, dose 3
    MedDRA: Intervertebral disc operation, Intervertebral disc protrusion, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    MedDRA releases: 2024-11
  46. 2023-03-05
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  47. 2023-03-06
  48. 2023-03-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  49. 2023-04-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-24Moderna
32022-03-05Moderna No
42022-10-01Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-29

Systemic reaction (other): Already had a small headache prior to shot so may not be related.

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Slight headache only

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): 8 hours post, slight tiredness, slight malaise, stomach grumbling

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Some Indigestion not typical for me

2021-02-26

Systemic reaction (other): Had the abdominal pain since night of 2nd dose but it was fleeting and short lived, had it last night again and a little this am, but goes away quickly. Some indigestion.

2021-02-27

Systemic reaction (other): Improving intermittent abdominal pain, mild

2021-02-28

Systemic reaction (other): Slight pain, improving

Release 11 — days 1–6 daily, dose 3

2022-03-08

Systemic reaction (other): Headache yesterday of unknown origin, may not be related.

Release 11 — 3 months, dose 3

2022-06-04

Symptoms: Recently (2-3 days ago) I had stomach pains that were reminiscent of my original COVID shot, like a GI bug. The symptoms passed after 2.5 days. That has resolved and feel back to myself. I was trying to report it then, so this came in time! Thanks! cut off by CDC

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
HCVOSurgery · · ✓
SDAbdominal pain upper · · ✓
SDIntervertebral disc operation · · ✓
SDIntervertebral disc protrusion · · ✓
SROAbdominal pain ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGastrointestinal sounds abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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