3BK-14135-96933
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme fatique 26 hours after 2nd injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-04
Survey response — day 28, dose 2MedDRA: Malaise, Pain in jaw, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I suffer from an infection 8n my jawbone. Othemylitis. I Am currently on an interavinus antibotic and an oral antibiotic.I believe the jawbone infection and antibiotics are making me feel lousey. Pain in jawbone for two yearsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Malaise, Pre-existing disease — Feeling: PoorFree text: I am being treated for osthomylrtis bone infection in my jaw. Iv & oral antibiotics.I DO NOT believe my feeling ill is due to my moderna injections. I had side effects after second injection about 26 hours later. Extreme fat8gue & headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-06-04
- 2021-06-16
- 2021-09-03
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Soreness at injection site
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme fatique 26 hours after 2nd injection
Release 6 — day 28, dose 2
Symptoms: I suffer from an infection 8n my jawbone. Othemylitis. I Am currently on an interavinus antibotic and an oral antibiotic.I believe the jawbone infection and antibiotics are making me feel lousey. Pain in jawbone for two years
Release 7 — day 35, dose 2
Symptoms: I am being treated for osthomylrtis bone infection in my jaw. Iv & oral antibiotics.I DO NOT believe my feeling ill is due to my moderna injections. I had side effects after second injection about 26 hours later. Extreme fat8gue & headache.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release