36B-25975-14339
3 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 018 / MA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Throat clearing — Feeling: GoodFree text: Mild: I noticed I was doing a lot of throat-clearing today, which has me worried about developing future respiratory infection symptoms. But so far, its not anything severe. Ill continue to monitor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Hypoaesthesia, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Facial numbness and light headed/spacey feeling 30min to a few hrs after the shot. Resolved on its own. Gone by day 2.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-10-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
-
2021-11-14
Survey response — day 21, dose 3MedDRA: Eczema, Pre-existing disease, Rash — Feeling: GoodFree text: Since 11/4, increase in what i believe to be eczema flare ups. Daily rashes all over body. More nuisance than anything. Just figured I'd offer this info. I don't think it's related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-24
Survey response — 6 months, dose 3MedDRA: Dermatitis contact — Feeling: GoodFree text: Daily contact dermatitis with unknown cause. I control it with a daily antihistamine.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild: I noticed I was doing a lot of throat-clearing today, which has me worried about developing future respiratory infection symptoms. But so far, its not anything severe. Ill continue to monitor.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Facial numbness and light headed/spacey feeling 30min to a few hrs after the shot. Resolved on its own. Gone by day 2.
Release 10 — day 21, dose 3
Symptoms: Since 11/4, increase in what i believe to be eczema flare ups. Daily rashes all over body. More nuisance than anything. Just figured I'd offer this info. I don't think it's related to the vaccine.
Release 11 — 6 months, dose 3
Symptoms: Daily contact dermatitis with unknown cause. I control it with a daily antihistamine.
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 | Dermatitis contact | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Throat clearing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release