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
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint painsFree text: Slept 12+ hours last night which seemed to helpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
-
2021-01-22
Dose 2 — Moderna
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Dizziness, light sensitivity, noise sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-04-23
-
2021-07-23
Survey response — 6 months, dose 2MedDRA: Otitis externa — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Mild outer ear infection. Resolved with antibiotic otic drops in 1 week.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-11-05
Dose 3 — Moderna
- 2022-01-22
-
2022-05-20
Dose 4 — Moderna
- 2022-06-28
- 2022-07-01
- 2022-08-19
-
2022-11-18
Survey response — 6 months, dose 4MedDRA: 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 activitiesFree 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 x2MedDRA releases: 2024-11 · check-in free text available
- 2023-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slept 12+ hours last night which seemed to help
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, light sensitivity, noise sensitivity
Release 9 — 6 months, dose 2
Symptoms: Mild outer ear infection. Resolved with antibiotic otic drops in 1 week.
Release 12 — 6 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Otitis externa | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release