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38M-12083-76545

4 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
933 / CA
Registered
2021-01-30
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Chills, Dysstasia, Fatigue, Feeling abnormal, Headache, Injection site pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: After 24 hrs after receiving the vaccine I developed Severe chills, body weakness unable to stand up feeling so tired/so weak, fever, headache, brain fog, sore and painful injection site. Feeling of relieving when I had my covid infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-11
    Dose 2 — Moderna
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  12. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Survey response — day 21, dose 2
    MedDRA: Cough, Headache — Feeling: Fair
    Free text: headache and cough headache that comes and go.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-11
    Survey response — day 28, dose 2
    MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Constant coughs with wheezing and shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-11
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-03-18
    Survey response — day 35, dose 2
    MedDRA: Cough, Wheezing — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Continuous cough with wheezing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-18
    Report sent to call center — day 35, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-03-25
    Survey response — day 42, dose 2
    MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Fair
    Free text: Cough with wheezing and lingering shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: Shortness of breath that comes and go.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-12-21
  22. 2022-01-07
    Dose 3 — Moderna
  23. 2022-02-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-07-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-12-23
    Dose 4 — Moderna
    Co-administered: Flu
  26. 2023-01-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2023-06-23
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32022-01-07Moderna No
42022-12-23Moderna Flu

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-30

Symptoms: After 24 hrs after receiving the vaccine I developed Severe chills, body weakness unable to stand up feeling so tired/so weak, fever, headache, brain fog, sore and painful injection site. Feeling of relieving when I had my covid infection.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: headache and cough headache that comes and go.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Constant coughs with wheezing and shortness of breath

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Continuous cough with wheezing.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Cough with wheezing and lingering shortness of breath

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Shortness of breath that comes and go.

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
SDAsthenia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDDysstasia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDWheezing ✓ ✓ ✓

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