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
-
2021-07-24
Registered in v-safe
-
2021-07-24
Dose 1 — Moderna
- 2021-07-24
- 2021-07-25
- 2021-07-26
-
2021-07-27
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · DiarrheaFree 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 unusualMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-08-07
- 2021-08-14
-
2021-08-20
Dose 2 — Moderna
- 2021-08-29
-
2021-09-03
Survey response — day 14, dose 2MedDRA: Disturbance in attention, Headache — Feeling: Good · Be unable to work or attend schoolFree 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
- 2021-09-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-24 | Moderna | No |
| 2 | 2021-08-20 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Disturbance in attention | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SRO | Condition aggravated | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release