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2NM-11793-89676

5 vaccinations 27 coded responses 58 check-ins 26 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
452 / OH
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Moderna
  3. 2021-02-02
    Survey response — day 0, dose 1
    MedDRA: Pain — Feeling: Good · Site: Pain
    Free text: The only body aches I have are those I had before the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Neck pain — Feeling: Good
    Free text: I have neck and bilateral shoulder pain that I've had from before the shot. Unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Dose 2 — Moderna
  12. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Most were overnight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: Probably unrelated. Preexisting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Arthritis is normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  19. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches
    Adult check-in
  20. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-23
    Survey response — day 21, dose 2
    MedDRA: Deafness, Ear discomfort, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Stuffy ear. Hearing loss probably due to excess wax. ENT appointment tomorrow. · Healthcare visit (other): ENT appointment.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-23
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Survey response — day 35, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good
    Free text: Tree and mold allergies increased. Typical of the spring.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Allergic cough, Lower respiratory tract congestion, Nasal congestion — Feeling: Good
    Free text: Allergic cough, nasal congestion, bronchial congestion
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-12-08
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-12-08
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain, Diarrhoea — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Diarrhea and abdominal pain were early a.m for about two hours.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose cough.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Wheezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Cough, asthma with wheezing.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-15
    Survey response — day 7, dose 3
    MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: I seem to have a bad cold right now. Follow on to mold allergy.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-22
    Survey response — day 14, dose 3
    MedDRA: Allergic bronchitis — Feeling: Fair
    Free text: Allergic bronchitis
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-29
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  37. 2022-01-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  39. 2022-01-19
    Survey response — day 42, dose 3
    MedDRA: Diarrhoea, Fatigue, Rhinorrhoea, Stress — Feeling: Good
    Free text: Stress fatigue unrelated to vaccine. Runny nose. Isolated instances of diarrhea.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-03-11
    Survey response — 3 months, dose 3
    MedDRA: Aphasia, Fatigue, Lower respiratory tract congestion, Nasal congestion, Pre-existing disease, Stress — Feeling: Good · Be unable to do your normal daily activities
    Free text: Allergic Nasal and Bronchi congestion, Brief aphasia likely due to stress and fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-05-18
    Dose 4 — Moderna
  42. 2022-05-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stiff neck.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  44. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  48. 2022-05-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-06-01
    Survey response — day 14, dose 4
    MedDRA: Cough, Hypersensitivity, Lower respiratory tract congestion, Pre-existing disease, Pulmonary pain, Respiratory tract congestion — Feeling: Good
    Free text: My pollen allergies are really active now. I have bronchial/chest congestion with much coughing. I've had a pain in my right lung.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-06-08
    Survey response — day 21, dose 4
    MedDRA: Cough, Pre-existing disease, Respiratory tract congestion — Feeling: Good
    Free text: Allergic congestion and cough.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-06-15
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  52. 2022-06-22
    Survey response — day 35, dose 4
    MedDRA: Pre-existing disease, Respiratory tract congestion — Feeling: Good
    Free text: Chest congestion. Probably due to allergies.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-06-29
    Survey response — day 42, dose 4
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Worsening Arthritis pain.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-08-17
    Survey response — 3 months, dose 4
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Stuffy head. Tight cough.
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-09-20
    Dose 5 — Moderna
    Co-administered: Flu
  56. 2022-09-20
    Survey response — day 0, dose 5
    MedDRA: Arthritis — Feeling: Good · Joint pains
    Free text: Arthritis
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-09-21
    Survey response — days 1–6 daily, dose 5
    MedDRA: Arthralgia, Arthritis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Some joint pain is daily with arthritis.
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Diarrhea
    Adult check-in
  59. 2022-09-27
    Survey response — day 7, dose 5
    MedDRA: Cough, Nasal congestion, Pre-existing disease, Rhinorrhoea — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Stuffy, runny nose and bronchial cough probably due to allergies.
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-10-04
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  61. 2022-10-11
    Survey response — day 21, dose 5
    MedDRA: Ear congestion, Sinus congestion — Feeling: Fair
    Free text: Stuffy sinuses and ears.
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-18
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  63. 2022-10-25
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  64. 2022-11-01
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  65. 2022-12-20
    Survey response — 3 months, dose 5
    MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Stuffy nose and voice box
    MedDRA releases: 2024-11 · check-in free text available
  66. 2022-12-20
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  67. 2022-12-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  68. 2023-03-21
    Survey response — 6 months, dose 5
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-12-08Moderna Flu
42022-05-18Moderna No
52022-09-20Moderna Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): The only body aches I have are those I had before the shot.

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): I have neck and bilateral shoulder pain that I've had from before the shot. Unrelated.

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Most were overnight.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Probably unrelated. Preexisting

2021-03-07

Systemic reaction (other): Arthritis is normal.

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Stuffy ear. Hearing loss probably due to excess wax. ENT appointment tomorrow.
Healthcare visit (other): ENT appointment.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Tree and mold allergies increased. Typical of the spring.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Allergic cough, nasal congestion, bronchial congestion

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Diarrhea and abdominal pain were early a.m for about two hours.

2021-12-10

Systemic reaction (other): Runny nose cough.

2021-12-13

Systemic reaction (other): Cough, asthma with wheezing.

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): I seem to have a bad cold right now. Follow on to mold allergy.

Release 10 — day 14, dose 3

2021-12-22

Symptoms: Allergic bronchitis

Release 10 — day 42, dose 3

2022-01-19

Symptoms: Stress fatigue unrelated to vaccine. Runny nose. Isolated instances of diarrhea.

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Allergic Nasal and Bronchi congestion, Brief aphasia likely due to stress and fatigue.

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): Stiff neck.

Release 11 — day 14, dose 4

2022-06-01

Symptoms: My pollen allergies are really active now. I have bronchial/chest congestion with much coughing. I've had a pain in my right lung.

Release 11 — day 21, dose 4

2022-06-08

Symptoms: Allergic congestion and cough.

Release 12 — day 35, dose 4

2022-06-22

Symptoms: Chest congestion. Probably due to allergies.

Release 12 — day 42, dose 4

2022-06-29

Symptoms: Worsening Arthritis pain.

Release 12 — 3 months, dose 4

2022-08-17

Symptoms: Stuffy head. Tight cough.

Release 12 — day 0, dose 5

2022-09-20

Systemic reaction (other): Arthritis

Release 12 — days 1–6 daily, dose 5

2022-09-21

Systemic reaction (other): Some joint pain is daily with arthritis.

Release 12 — day 7, dose 5

2022-09-27

Systemic reaction (other): Stuffy, runny nose and bronchial cough probably due to allergies.

Release 12 — day 21, dose 5

2022-10-11

Symptoms: Stuffy sinuses and ears.

Release 12 — 3 months, dose 5

2022-12-20

Symptoms: Stuffy nose and voice box

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
HCVOSpecialist consultation ✓ ✓ ✓
SDAllergic bronchitis · · ✓
SDAllergic cough ✓ · ✓
SDAphasia · · ✓
SDArthralgia · · ✓
SDCough · · ✓
SDDeafness ✓ ✓ ✓
SDDiarrhoea · · ✓
SDEar congestion · · ✓
SDEar discomfort ✓ ✓ ✓
SDFatigue · · ✓
SDHypersensitivity ✓ ✓ ✓
SDLower respiratory tract congestion ✓ · ✓
SDNasal congestion ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDPulmonary pain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSinus congestion · · ✓
SDSpecialist consultation ✓ ✓ ✓
SDStress · · ✓
SROAbdominal pain · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthritis · · ✓
SROCough · · ✓
SRODiarrhoea · · ✓
SROMusculoskeletal stiffness · · ✓
SRONasal congestion · · ✓
SRONasopharyngitis · · ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORhinorrhoea · · ✓
SROUnevaluable event ✓ ✓ ✓
SROWheezing · · ✓

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

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