3A3-25762-89407
2 vaccinations
9 coded responses
19 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-23
Registered in v-safe
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2021-03-23
Dose 1 — Moderna
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2021-03-23
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-27
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Memory impairment, Tinnitus — Feeling: Good · Site: Pain · Muscle or body achesFree text: Tinnitus, forgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 7, dose 1MedDRA: Memory impairment, Tinnitus — Feeling: Good · Fatigue or tirednessFree text: Tinnitus, forgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-14
- 2021-04-20
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2021-04-22
Dose 2 — Moderna
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Memory impairment — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, DiarrheaFree text: Fogginess; ForgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-09
Survey response — day 14, dose 2MedDRA: Arthritis, Fatigue, Insomnia, Irritability, Musculoskeletal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, musculoskeletal pain, joint inflammation, head and chest congestion, irritability, insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 21, dose 2MedDRA: Insomnia, Musculoskeletal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Musculoskeletal aches and pain. Memory lapses. Difficulty staying asleep. Head and chest congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue, Inflammation, Terminal insomnia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pronounced Tinnitus, Frequent awakenings, Fatigue, Joint pain/inflammation,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-22
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Cough, Fatigue, Productive cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest tightness, congestion, deep cough: productive then dry hacking, sneezing, runny nose, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus, forgetfulness
Release 6 — day 7, dose 1
Systemic reaction (other): Tinnitus, forgetfulness
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fogginess; Forgetfulness
Release 8 — day 14, dose 2
Symptoms: Fatigue, musculoskeletal pain, joint inflammation, head and chest congestion, irritability, insomnia
Release 8 — day 21, dose 2
Symptoms: Musculoskeletal aches and pain. Memory lapses. Difficulty staying asleep. Head and chest congestion.
Release 8 — day 42, dose 2
Symptoms: Pronounced Tinnitus, Frequent awakenings, Fatigue, Joint pain/inflammation,
Release 9 — 3 months, dose 2
Symptoms: Chest tightness, congestion, deep cough: productive then dry hacking, sneezing, runny nose, fatigue
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Terminal insomnia | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release