2VG-25856-97237
4 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 930 / CA
- Registered
- 2021-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-18
Dose 1 — Moderna
-
2021-05-17
Dose 2 — Moderna
-
2021-12-29
Registered in v-safe
-
2021-12-29
Dose 3 — Moderna
-
2021-12-29
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2021-12-31
- 2022-01-01
-
2022-01-02
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Medical counselling, Renal pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feeling a discomfort/pain in my kidney. Reported to dr. Took Tylenol and drinking electrolytes. Helping some.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
-
2022-03-30
Survey response — 3 months, dose 3MedDRA: Fatigue — Feeling: GoodFree text: It's not that it just started, just didn't think about until brought to my attention. I am almost completely exhausted come 8:30 PM.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Dose 4 — Moderna
- 2022-05-30
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-25
- 2022-06-30
-
2022-08-18
Survey response — 3 months, dose 4MedDRA: Headache, Neurological symptom, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had headaches for two days in a row. On third day, I woke up with real bad vertigo. Lasted until I went to sleep. Other than those three days, I've been fine. Although at times, it feels like the vertigo wants to come back, but goes away.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | No |
| 2 | 2021-05-17 | Moderna | No |
| 3 | 2021-12-29 | Moderna | No |
| 4 | 2022-05-19 | Moderna | No |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling a discomfort/pain in my kidney. Reported to dr. Took Tylenol and drinking electrolytes. Helping some.
Release 11 — 3 months, dose 3
Symptoms: It's not that it just started, just didn't think about until brought to my attention. I am almost completely exhausted come 8:30 PM.
Release 12 — 3 months, dose 4
Symptoms: Had headaches for two days in a row. On third day, I woke up with real bad vertigo. Lasted until I went to sleep. Other than those three days, I've been fine. Although at times, it feels like the vertigo wants to come back, but goes away.
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Renal pain | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release