2V2-13557-96319
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Registered in v-safe
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2021-03-01
Dose 1 — Moderna
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: PainFree text: I missed the opportunity to submit for yesterday but I did have Diarrhea yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Hordeolum — Feeling: Good · Site: PainFree text: I woke up with a stye on my right eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Hordeolum — Feeling: Good · Site: PainFree text: Stye on the right eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: 3 hours after the shot I felt a little dizziness for a few minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I felt this way most of yesterday, after I had already done the check-in. Today I feel better. Just a slight headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-08
- 2021-04-13
- 2021-04-22
- 2021-04-29
- 2021-05-04
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2021-05-11
Survey response — day 42, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Got a cold. Tested negative for covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
- 2021-09-28
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2021-12-07
Dose 3 — Moderna
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2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-09
- 2021-12-13
- 2021-12-14
- 2021-12-21
- 2022-01-04
- 2022-01-22
- 2022-03-08
- 2022-06-09
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2022-09-26
Dose 4 — Moderna
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2022-09-26
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-28
- 2022-09-29
- 2022-10-03
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2022-10-28
Survey response — day 28, dose 4MedDRA: COVID-19, Chills, Cough, Fatigue, Headache, Nasal congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got Covid. Tested positive on 10/26. Symptoms have been bad cough with chest congestion, stuffy nose, headache, chills, slight fever, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-09-26 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I missed the opportunity to submit for yesterday but I did have Diarrhea yesterday.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up with a stye on my right eye
Systemic reaction (other): Stye on the right eye
Release 6 — day 0, dose 2
Systemic reaction (other): 3 hours after the shot I felt a little dizziness for a few minutes
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I felt this way most of yesterday, after I had already done the check-in. Today I feel better. Just a slight headache.
Release 8 — day 42, dose 2
Symptoms: Got a cold. Tested negative for covid
Release 12 — day 28, dose 4
Symptoms: I got Covid. Tested positive on 10/26. Symptoms have been bad cough with chest congestion, stuffy nose, headache, chills, slight fever, fatigue.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release