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39S-18685-70061

2 vaccinations 2 coded responses 12 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
598 / MT
Registered
2021-07-24
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-07-24
    Registered in v-safe
  2. 2021-07-24
    Dose 1 — Moderna
  3. 2021-07-24
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-07-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  5. 2021-07-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-07-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Diarrhea
    Free text: Odd nose bleed that wouldnt quit. It is common for me to get nose bleeds and they stop after the first gauze. This time I bled through 5 gauzes and lost maybe an 1/8 pint of blood? Wife said the bathroom looked like a crime scene. Highly unusual
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-07-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-07-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-07-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  10. 2021-08-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-08-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-20
    Dose 2 — Moderna
  13. 2021-08-29
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-09-03
    Survey response — day 14, dose 2
    MedDRA: Disturbance in attention, Headache — Feeling: Good · Be unable to work or attend school
    Free text: Daily headache ever since second vaccine, comes on rapidly and dissipates just as fast, lasts anywhere from 5 minutes to an hour. Very consistent (at least once a day but varies by time of day). Cant focus to work when they hit.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-09-14
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-24Moderna No
22021-08-20Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-27

Systemic reaction (other): Odd nose bleed that wouldnt quit. It is common for me to get nose bleeds and they stop after the first gauze. This time I bled through 5 gauzes and lost maybe an 1/8 pint of blood? Wife said the bathroom looked like a crime scene. Highly unusual

Release 9 — day 14, dose 2

2021-09-03

Symptoms: Daily headache ever since second vaccine, comes on rapidly and dissipates just as fast, lasts anywhere from 5 minutes to an hour. Very consistent (at least once a day but varies by time of day). Cant focus to work when they hit.

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
SDDisturbance in attention ✓ · ✓
SDHeadache ✓ · ✓
SROCondition aggravated ✓ · ✓
SROPre-existing disease ✓ · ✓

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