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
-
2021-02-21
Dose 1 — Moderna
-
2021-03-24
Dose 2 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Lacrimation increased, Rhinorrhoea — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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 afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-09-22
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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
-
2021-09-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-24
-
2021-09-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Constipation | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Haemorrhoids | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release