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
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2021-04-28
Dose 1 — Moderna
-
2021-05-09
Registered in v-safe
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2021-05-09
Survey response — day 7, dose 1MedDRA: Headache, Nasopharyngitis — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Constant headache and coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 14, dose 1MedDRA: 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 visitFree 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
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2021-05-14
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-22
Survey response — day 21, dose 1MedDRA: 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 visitFree 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
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2021-05-22
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-26
Survey response — day 28, dose 1MedDRA: 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 visitFree 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
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2021-05-26
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-02
Survey response — day 35, dose 1MedDRA: 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 activitiesFree 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
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2021-06-13
Survey response — day 42, dose 1MedDRA: 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 activitiesFree 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
- 2021-07-28
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): Constant headache and cold
Release 8 — day 14, dose 1
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
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SD | Blood glucose decreased | ✓ | ✓ | ✓ |
| SD | Blood glucose fluctuation | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Nasal pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release