37Z-22751-26711
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 625 / IL
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
- 2020-12-30
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Feel like small enlarged lymph node in the axulla, side of injection, soreness thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
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2021-01-12
Survey response — day 14, dose 1MedDRA: Headache, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: For one week I have this constant nagging headache which is there when I go to bed in this present when I wake up in the morning. I have a meeting of the Tylenol or 400mg of ibuprofen did not even touch itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Survey response — day 21, dose 1MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headche constnt for almost two weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Dose 2 — Moderna
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2021-02-09
Survey response — day 14, dose 2MedDRA: Headache, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache constant for four weeks and Hugh blood pressure requiring triple medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-16
Survey response — day 21, dose 2MedDRA: Blood pressure increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Head and high bp Requiring threemedication but why do I keep saying the same things when you guys are not doing anything about itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-23
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: What difference does it make? I have complained for five weeks , you folks are not interestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
4 call center cases
3 unsuccessful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Feel like small enlarged lymph node in the axulla, side of injection, soreness there
Release 1 — day 14, dose 1
Symptoms: For one week I have this constant nagging headache which is there when I go to bed in this present when I wake up in the morning. I have a meeting of the Tylenol or 400mg of ibuprofen did not even touch it
Release 2 — day 21, dose 1
Symptoms: Headche constnt for almost two weeks
Release 3 — day 14, dose 2
Symptoms: Headache constant for four weeks and Hugh blood pressure requiring triple meds
Release 4 — day 21, dose 2
Symptoms: Head and high bp Requiring threemedication but why do I keep saying the same things when you guys are not doing anything about it
Release 4 — day 28, dose 2
Symptoms: What difference does it make? I have complained for five weeks , you folks are not interested
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release