2W6-14448-10716
5 vaccinations
8 coded responses
49 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 624 / IL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
- 2021-01-29
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
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2021-02-25
Health check-in — day 0, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Joint painsAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-04
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-22
Dose 3 — Moderna
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Neck and shoulder right sorenessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-10-29
Health check-in — day 7, dose 3Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Abdominal painAdult check-in
- 2021-11-05
- 2021-11-12
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2021-11-19
Survey response — day 28, dose 3MedDRA: Headache, Office visit — Feeling: FairFree text: Having headaches on the right side of my head I've been to the doctor to see a neurologistMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Had a cold and chest congestionMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Dose 4 — Moderna
- 2022-04-18
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: The spot is sore if you touch it not real badMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain · Joint painsFree text: My neck hurt like a stiff neck on the same side that I had the shotMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
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2022-07-18
Survey response — 3 months, dose 4MedDRA: Back pain, Haemorrhoidal haemorrhage — Feeling: FairFree text: Left lower back pain hemorrhoids bleedingMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Survey response — 6 months, dose 4MedDRA: COVID-19, Office visit, Quarantine, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: July 30 of 2022I had covet 19 I had to be in isolation for 12 days. A lot of sinus congestion really bad but feeling better now. I have had all four shots and I detected it after going to the doctor with my home test kits.MedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-18
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2022-10-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-12
Dose 5 — Moderna
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2023-01-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Neck and shoulder right soreness
Release 10 — day 28, dose 3
Symptoms: Having headaches on the right side of my head I've been to the doctor to see a neurologist
Release 11 — 3 months, dose 3
Symptoms: Had a cold and chest congestion
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The spot is sore if you touch it not real bad
Systemic reaction (other): My neck hurt like a stiff neck on the same side that I had the shot
Release 12 — 3 months, dose 4
Symptoms: Left lower back pain hemorrhoids bleeding
Release 12 — 6 months, dose 4
Symptoms: July 30 of 2022I had covet 19 I had to be in isolation for 12 days. A lot of sinus congestion really bad but feeling better now. I have had all four shots and I detected it after going to the doctor with my home test kits.
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 | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Haemorrhoidal haemorrhage | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release