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3AX-10801-73070

4 vaccinations 4 coded responses 26 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
980 / WA
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersomnia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains
    Free text: Slept 12+ hours last night which seemed to help
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-22
    Dose 2 — Moderna
  13. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Hyperacusis, Photophobia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness, light sensitivity, noise sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-01-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-23
    Survey response — 6 months, dose 2
    MedDRA: Otitis externa — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Mild outer ear infection. Resolved with antibiotic otic drops in 1 week.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-07-23
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-02
  26. 2021-11-05
    Dose 3 — Moderna
  27. 2022-01-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-20
    Dose 4 — Moderna
  29. 2022-06-28
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  30. 2022-07-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-08-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-11-18
    Survey response — 6 months, dose 4
    MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Acute episode of moderate to severe headache, fatigue, chills, congestion, runny nose, sore throat, and cough beginning 11/14 to present with some improvement in the past 1-2days. Treated at home with rest. Tested negative for COVID x2
    MedDRA releases: 2024-11 · check-in free text available
  33. 2023-05-20
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-22Moderna
32021-11-05Moderna No
42022-05-20Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Slept 12+ hours last night which seemed to help

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Dizziness, light sensitivity, noise sensitivity

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Mild outer ear infection. Resolved with antibiotic otic drops in 1 week.

Release 12 — 6 months, dose 4

2022-11-18

Symptoms: Acute episode of moderate to severe headache, fatigue, chills, congestion, runny nose, sore throat, and cough beginning 11/14 to present with some improvement in the past 1-2days. Treated at home with rest. Tested negative for COVID x2

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
SDChills · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDOtitis externa ✓ · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODizziness ✓ ✓ ✓
SROHyperacusis ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓

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