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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

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  5. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-02
    Dose 2 — Moderna
  10. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-09
    Survey response — day 7, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash on legs, back of knees
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-24
    Dose 3 — Moderna
  24. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Mental disorder, Neck pain, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  25. 2021-11-23
    Survey response — 3 months, dose 3
    MedDRA: 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 visit
    Free 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
  26. 2021-11-23
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2021-11-29
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2022-02-23
    Survey response — 6 months, dose 3
    MedDRA: Acarodermatitis, Infection parasitic, Pruritus — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  29. 2022-08-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-08-24Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Rash on legs, back of knees

Release 9 — 6 months, dose 2

2021-08-31

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

2021-11-23

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

2022-02-23

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

FieldPreferred term2021-092023-042024-11
SDAcarodermatitis · · ✓
SDArthropod bite · · ✓
SDHuman anaplasmosis · · ✓
SDInfection parasitic · · ✓
SDMental disorder ✓ · ✓
SDNeck pain ✓ · ✓
SDPain ✓ · ✓
SDPruritus · · ✓
SRORash ✓ ✓ ✓

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