2RG-13675-33537
4 vaccinations
9 coded responses
41 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
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2021-02-15
Registered in v-safe
- 2021-02-15
- 2021-02-19
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: No appetite for much of the day. Returned late in the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Good · HeadacheFree text: No energy early morning, but fine the rest of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-02
- 2021-04-09
- 2021-04-15
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Ear congestion, Lethargy, Oropharyngeal pain, Throat irritation, Viral infection — Feeling: FairFree text: Fighting a bug for the past week. Scratchy and sore throat. Congestion in ears. Lathargic. No temp.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Dose 3 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-10-30
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Throat irritation — Feeling: Good · HeadacheFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — day 7, dose 3MedDRA: Throat irritation — Feeling: Good · HeadacheFree text: Scratchey throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-23
- 2021-12-01
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Chills, Fatigue, Pain — Feeling: FairFree text: Took 2nd Shingles shot on April 20. Had chills and aches for about three days. Am tired every day since.MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Dose 4 — Moderna
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2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-10-17
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2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19, Myalgia, Office visit, Polymyalgia rheumatica — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I had COVID in early July 2022. Approximately six weeks after, I experienced severe muscle pain throughout my body. After about one month of severe muscle pain I was referred by my doctor to a Rheumatologist who diagnosed me with PMR.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
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2022-10-26
Survey response — day 14, dose 4MedDRA: Influenza like illness — Feeling: FairFree text: I had a flu shot on Tuesday, October 24. I have had mild flu like symptoms since receiving the flu shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
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2023-04-12
Survey response — 6 months, dose 4MedDRA: Arthritis, COVID-19, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-12
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-13
- 2023-04-20
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2023-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-10-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): No appetite for much of the day. Returned late in the day.
Systemic reaction (other): No energy early morning, but fine the rest of the day.
Release 9 — 6 months, dose 2
Symptoms: Fighting a bug for the past week. Scratchy and sore throat. Congestion in ears. Lathargic. No temp.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Scratchy throat
Release 10 — day 7, dose 3
Systemic reaction (other): Scratchey throat
Release 11 — 6 months, dose 3
Symptoms: Took 2nd Shingles shot on April 20. Had chills and aches for about three days. Am tired every day since.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had COVID in early July 2022. Approximately six weeks after, I experienced severe muscle pain throughout my body. After about one month of severe muscle pain I was referred by my doctor to a Rheumatologist who diagnosed me with PMR.
Release 12 — day 14, dose 4
Symptoms: I had a flu shot on Tuesday, October 24. I have had mild flu like symptoms since receiving the flu shot.
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 | Arthritis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear congestion | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lethargy | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Polymyalgia rheumatica | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release