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33S-26953-24378

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
034 / NH
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-21
    Dose 1 — Moderna
  2. 2021-03-24
    Dose 2 — Moderna
  3. 2021-03-26
    Registered in v-safe
  4. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Lacrimation increased, Rhinorrhoea — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday, before I signed up for this, I had chills, mild fever (100.1) watery eyes and runny nose. This started 24 hours after I had the second shot. Much, much better this afternoon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-09-22
    Survey response — 6 months, dose 2
    MedDRA: Constipation, Dizziness, Emergency care, Haemorrhoids, Malaise, Office visit, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Inflamed hemeroid, prevented me from moving my bowels for almost 48 hours. Felt dizzy and way out of sorts so went to ER at local hospital. They checked things and found nothing but the inflamed hemeroid. They recommended Miralax and that worked!
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-22
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-09-24
  12. 2021-09-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2022-03-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-21Moderna
22021-03-24Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Yesterday, before I signed up for this, I had chills, mild fever (100.1) watery eyes and runny nose. This started 24 hours after I had the second shot. Much, much better this afternoon

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Inflamed hemeroid, prevented me from moving my bowels for almost 48 hours. Felt dizzy and way out of sorts so went to ER at local hospital. They checked things and found nothing but the inflamed hemeroid. They recommended Miralax and that worked!

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

FieldPreferred term2021-092023-042024-11
SDConstipation · · ✓
SDDizziness · · ✓
SDEmergency care · · ✓
SDHaemorrhoids · · ✓
SDMalaise · · ✓
SDOffice visit · · ✓
SDSelf-medication · · ✓
SROChills ✓ ✓ ✓
SROLacrimation increased ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release