2PM-33660-99874
4 vaccinations
7 coded responses
37 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Last night after getting the shot, about 1/2 hour later felt a little woozy. About an hour later started to feel nauseated along with a headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Had a little bit of soreness in the area where the shot was given early this morning but that is goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 1MedDRA: Chest discomfort, Chest pain, Dyspnoea, Pharyngeal swelling, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Unknown reason why dimer blood test was elevated. Episode of chest pain. Non cardiac related. Another visit for congestion, tightness in chest, slight difficulty breathing,throat swelling. Non cardiac relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
- 2021-04-17
- 2021-04-25
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Condition aggravated, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: FairFree text: GERD relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Felt really cold but not chillsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: MildMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-30
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Gastrointestinal disorder, Urinary tract disorder — Feeling: FairFree text: Urinary issues and bowel issues not related to shot I'm sureMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
-
2022-04-29
Dose 4 — Moderna
- 2022-05-15
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
- 2022-10-28
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Last night after getting the shot, about 1/2 hour later felt a little woozy. About an hour later started to feel nauseated along with a headache.
Systemic reaction (other): Had a little bit of soreness in the area where the shot was given early this morning but that is gone
Release 6 — day 21, dose 1
Symptoms: Unknown reason why dimer blood test was elevated. Episode of chest pain. Non cardiac related. Another visit for congestion, tightness in chest, slight difficulty breathing,throat swelling. Non cardiac related
Release 8 — day 28, dose 2
Symptoms: GERD related
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Felt really cold but not chills
Systemic reaction (other): Mild
Release 11 — 3 months, dose 3
Symptoms: Urinary issues and bowel issues not related to shot I'm sure
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Urinary tract disorder | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release