3C9-98082-23134
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 020 / MA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L7M-28218-40146
Child or adolescent in my care · Female · 2021-12-23
LL6-32025-20640
Adult relative or friend · Female · 2021-12-23
VEH-31080-17469
Child or adolescent in my care · Female · 2021-12-23
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-02
- 2021-05-07
- 2021-05-14
-
2021-05-21
Dose 2 — Moderna
- 2021-05-21
-
2021-06-06
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Nausea, Reaction to previous exposure to any vaccine — Feeling: FairFree text: In the 48 hours after my second shot I had all the same symptoms that I had following the first shot (nausea, fatigue, and headache), but these symptoms were worse than they were following the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-08-21
- 2021-11-19
-
2021-12-09
Dose 3 — Moderna
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Self-medication — Feeling: Fair · HeadacheFree text: Yesterday and last night, which was the day that I received my booster shot, I had a very severe headache. I believe my headache would be severe today, the day after the booster, except that I have been taking some Excedrin throughout the day.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-18
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
-
2022-06-09
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: GoodFree text: Had COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
Free text
Release 8 — day 14, dose 2
Symptoms: In the 48 hours after my second shot I had all the same symptoms that I had following the first shot (nausea, fatigue, and headache), but these symptoms were worse than they were following the first shot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday and last night, which was the day that I received my booster shot, I had a very severe headache. I believe my headache would be severe today, the day after the booster, except that I have been taking some Excedrin throughout the day.
Release 12 — 6 months, dose 3
Symptoms: Had COVID.
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release