2M8-14920-10688
4 vaccinations
13 coded responses
44 check-ins
13 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 949 / CA
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-08
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-03-29
Dose 2 — Moderna
-
2021-03-29
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Pain, Tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, brain fog, hot and cold waves, tender skin all over the body, shooting pains all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Still skin sensitivity, but much less. Like precursor to herpes virus outbreak.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-13
- 2021-04-20
- 2021-04-28
- 2021-05-03
- 2021-05-10
- 2021-06-28
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen gland behind left ear for 2 months. Related at all to COVID shot? Docs don't know....??? · Healthcare visit (other): Doctor office visit. Inconclusive.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-14
Dose 3 — Moderna
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Dizziness, Electric shock sensation, Influenza like illness, Neck pain, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, neck pain, foggy head, fluish symptoms and tingly, buzzy intensity around the sides, top and back of head. All moderate.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Some residual dizziness, much reduced, mildMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Occasional slight dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Depression, Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Loss of personal independence in daily activities, Photopsia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Waves of dizziness, fatigue, depression. One dizzy period lasted 10 minutes, saw 'stars,' couldn't stay standing, had to lie down until it passed. Made me feel very low, discouraged, unfocused and undirected. Could barely do necessary things.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Dizziness mostly gone, knock on woodMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-21
- 2021-11-28
- 2021-12-02
-
2021-12-05
Survey response — day 21, dose 3MedDRA: Lymphadenopathy, Office visit, Pain, Self-medication, Sensitive skin — Feeling: GoodFree text: Aches and sensitivity in left side of head/face/ear/neck.(After second shot-swollen gland behind left ear for months. Dental exams--no infection or absess. Ibuprofen didn't help. Doctors had no answers. Swelling went down after alternative treatment)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-20
-
2021-12-26
Survey response — day 42, dose 3MedDRA: Chest discomfort, Discomfort, Fatigue, Influenza like illness, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On two occasions, a few days ago and today: Fatigue, heaviness in the chest/lungs/bronchials. Like pre-flu or pre-cold symptoms. Hasn't turned into anything definitive yet.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Survey response — 3 months, dose 3MedDRA: Injection site pain, Injection site swelling, Lymph node pain — Feeling: GoodFree text: Some pain in the gland area behind and blow left ear, like the swelling and pain after an earlier vaccination shot. Comes and goes.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
-
2022-09-20
Dose 4 — Pfizer-BioNTech
- 2022-10-12
-
2022-10-18
Survey response — day 28, dose 4MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ongoing shortness of breath. Not sure it's at all related to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
-
2022-11-01
Survey response — day 42, dose 4MedDRA: Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative, Self-medication — Feeling: GoodFree text: Sore throat, possible swollen glands under chin right side. Home COVID test was negative. Used Zicam zinc OTC remedy. Subsided slowly over several days. Fatigue followed.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-14 | Moderna | No |
| 4 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, brain fog, hot and cold waves, tender skin all over the body, shooting pains all over
Systemic reaction (other): Still skin sensitivity, but much less. Like precursor to herpes virus outbreak.
Release 9 — 6 months, dose 2
Symptoms: Swollen gland behind left ear for 2 months. Related at all to COVID shot? Docs don't know....???
Healthcare visit (other): Doctor office visit. Inconclusive.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness, neck pain, foggy head, fluish symptoms and tingly, buzzy intensity around the sides, top and back of head. All moderate.
Systemic reaction (other): Some residual dizziness, much reduced, mild
Systemic reaction (other): Occasional slight dizziness
Systemic reaction (other): Waves of dizziness, fatigue, depression. One dizzy period lasted 10 minutes, saw 'stars,' couldn't stay standing, had to lie down until it passed. Made me feel very low, discouraged, unfocused and undirected. Could barely do necessary things.
Systemic reaction (other): Dizziness mostly gone, knock on wood
Release 10 — day 21, dose 3
Symptoms: Aches and sensitivity in left side of head/face/ear/neck.(After second shot-swollen gland behind left ear for months. Dental exams--no infection or absess. Ibuprofen didn't help. Doctors had no answers. Swelling went down after alternative treatment) cut off by CDC
Release 10 — day 42, dose 3
Symptoms: On two occasions, a few days ago and today: Fatigue, heaviness in the chest/lungs/bronchials. Like pre-flu or pre-cold symptoms. Hasn't turned into anything definitive yet.
Release 11 — 3 months, dose 3
Symptoms: Some pain in the gland area behind and blow left ear, like the swelling and pain after an earlier vaccination shot. Comes and goes.
Release 12 — day 28, dose 4
Symptoms: Ongoing shortness of breath. Not sure it's at all related to vaccine.
Release 12 — day 42, dose 4
Symptoms: Sore throat, possible swollen glands under chin right side. Home COVID test was negative. Used Zicam zinc OTC remedy. Subsided slowly over several days. Fatigue followed.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Depression | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Photopsia | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release