36E-14781-59826
3 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Muscle or body achesAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on legs, back of kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
-
2021-08-24
Dose 3 — Moderna
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Mental disorder, Neck pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: After my third shot, within hours I felt achy and a sore neck, and a little loopy. That lasted the afternoon and evening. The next day I felt better and the third day I was fine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-23
Survey response — 3 months, dose 3MedDRA: Arthropod bite, Human anaplasmosis — Feeling: Good · Be unable to work or attend school, 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 was bitten by two ticks and developed anaplasmosis. Today is my last day on the Dozycycline medicine. I am much better. I was terribly sick for 3 days.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-23
Survey response — 6 months, dose 3MedDRA: Acarodermatitis, Infection parasitic, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have a parasite infection called scabies caught from my dogwicked itchy. Taking Ivermectin, no relief yet after two days on the medicine.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): Rash on legs, back of knees
Release 9 — 6 months, dose 2
Symptoms: After my third shot, within hours I felt achy and a sore neck, and a little loopy. That lasted the afternoon and evening. The next day I felt better and the third day I was fine.
Release 10 — 3 months, dose 3
Symptoms: I was bitten by two ticks and developed anaplasmosis. Today is my last day on the Dozycycline medicine. I am much better. I was terribly sick for 3 days.
Release 11 — 6 months, dose 3
Symptoms: I have a parasite infection called scabies caught from my dogwicked itchy. Taking Ivermectin, no relief yet after two days on the medicine.
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 | Acarodermatitis | · | · | ✓ |
| SD | Arthropod bite | · | · | ✓ |
| SD | Human anaplasmosis | · | · | ✓ |
| SD | Infection parasitic | · | · | ✓ |
| SD | Mental disorder | ✓ | · | ✓ |
| SD | Neck pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release