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34D-25425-54777

1 vaccination 6 coded responses 7 check-ins 6 free-text entries 3 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
191 / PA
Registered
2021-05-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-28
    Dose 1 — Moderna
  2. 2021-05-09
    Registered in v-safe
  3. 2021-05-09
    Survey response — day 7, dose 1
    MedDRA: Headache, Nasopharyngitis — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Constant headache and cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-14
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort, Dizziness, Emergency care, Fatigue, Nasopharyngitis, Office visit, Pyrexia, Rhinorrhoea, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Noisy ears, dizziness, tiredness,fever, constant cold with running nose, upset stomach that resulted to a visit to the ER and a followup with PCP.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-14
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-22
    Survey response — day 21, dose 1
    MedDRA: Asthenia, Dizziness, Nasal pruritus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I feel weak, itching nostrils, light headedness. It is like this vaccine shook a whole lot of health problems for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-22
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-05-26
    Survey response — day 28, dose 1
    MedDRA: Abdominal discomfort, Asthenia, Blood glucose abnormal, Dizziness, Eye pruritus, Headache, Nasopharyngitis, Pruritus, Rhinorrhoea, Throat irritation, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Constant itching and running nose, constant cold, headache, light headedness, weakness, itching eyes, itching throat, dizziness and abnormal Blood sugar levels, upset stomach pain since I took the covid vaccine. · Healthcare visit (other): Now have an appointment for endoscopy and colonoscopy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-26
    Report sent to call center — day 28, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-06-02
    Survey response — day 35, dose 1
    MedDRA: Asthenia, Blood glucose decreased, Flank pain, Headache, Insomnia, Pre-existing disease, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Since I took the vaccine, I have bern having a constant headache with running nose, weakness, side pains, my sugar constantly running low, sleepless night, and it just shook a whole lot of health problems on me hence being diabetic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-13
    Survey response — day 42, dose 1
    MedDRA: Blood glucose fluctuation, Cough, Eye pruritus, Headache, Nasal pruritus, Nasopharyngitis, Throat irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Itching nostrils and throat, itching eyes, constant cold, coughing, constant headache, fluctuating blood sugar levels. I am now experiencing a whole lot of heath problems that I didn't have before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-28
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-01-19

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-05-09

Systemic reaction (other): Constant headache and cold

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Noisy ears, dizziness, tiredness,fever, constant cold with running nose, upset stomach that resulted to a visit to the ER and a followup with PCP.

Release 8 — day 21, dose 1

2021-05-22

Symptoms: I feel weak, itching nostrils, light headedness. It is like this vaccine shook a whole lot of health problems for me.

Release 8 — day 28, dose 1

2021-05-26

Symptoms: Constant itching and running nose, constant cold, headache, light headedness, weakness, itching eyes, itching throat, dizziness and abnormal Blood sugar levels, upset stomach pain since I took the covid vaccine.
Healthcare visit (other): Now have an appointment for endoscopy and colonoscopy.

Release 8 — day 35, dose 1

2021-06-02

Symptoms: Since I took the vaccine, I have bern having a constant headache with running nose, weakness, side pains, my sugar constantly running low, sleepless night, and it just shook a whole lot of health problems on me hence being diabetic.

Release 9 — day 42, dose 1

2021-06-13

Symptoms: Itching nostrils and throat, itching eyes, constant cold, coughing, constant headache, fluctuating blood sugar levels. I am now experiencing a whole lot of heath problems that I didn't have before.

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
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBlood glucose abnormal ✓ ✓ ✓
SDBlood glucose decreased ✓ ✓ ✓
SDBlood glucose fluctuation ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFlank pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDNasal pruritus ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓

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