2SK-31007-05059
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 762 / TX
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Felt light headed in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-23
- 2021-04-29
-
2021-05-04
Dose 2 — Moderna
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-10
- 2021-05-11
- 2021-05-19
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2021-12-10
Dose 3 — ModernaCo-administered: Flu
- 2021-12-10
- 2021-12-11
- 2021-12-13
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-24
-
2021-12-31
Survey response — day 21, dose 3MedDRA: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, fever, fatigue, headache, nasal congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-01-15
-
2022-01-22
Survey response — day 42, dose 3MedDRA: Anxiety, Brain fog, Chest discomfort, Feeling abnormal — Feeling: FairFree text: Feeling kinda off, brain fog. Slight chest pressure, anxiousMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Survey response — 3 months, dose 3MedDRA: Anxiety, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a situation where I was experiencing extremely high anxiety which i ended up going unto the ER for. There was no issues found with heart or after blood, but it lasted only a day or two ending in culmination and going to ER.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-14
- 2022-06-10
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sinus congestion, coldMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-12-10 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Felt light headed in the morning
Release 10 — day 21, dose 3
Symptoms: Sore throat, fever, fatigue, headache, nasal congestion, cough
Release 11 — day 42, dose 3
Symptoms: Feeling kinda off, brain fog. Slight chest pressure, anxious
Release 11 — 3 months, dose 3
Symptoms: I had a situation where I was experiencing extremely high anxiety which i ended up going unto the ER for. There was no issues found with heart or after blood, but it lasted only a day or two ending in culmination and going to ER.
Release 12 — 12 months, dose 3
Symptoms: Sinus congestion, cold
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 | Anxiety | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release