3DL-45654-35311
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 152 / PA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
- 2021-04-02
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal painAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-16
Survey response — day 14, dose 1MedDRA: Ear pain, Infection, Pain in jaw — Feeling: GoodFree text: Just an ear ache which is making my jaw hurt. No idea if this is connected, but I havent had an ear ache or infection in about a decadeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
-
2021-04-30
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, NauseaAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Asthenia, Sluggishness — Feeling: GoodFree text: Ive just noticed a lag in energy. I dont know if its the heat, or poor sleep, but I just seem to dragMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Dyspepsia, Sucrose intolerance — Feeling: GoodFree text: Specifically, a problem with digesting unrefined sugarsthey seem to go right through me.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-29
-
2022-04-30
Survey response — 12 months, dose 2MedDRA: Disorientation, Dizziness — Feeling: GoodFree text: Just bouts of dizziness or a sense of disorientation not related to food, beverage or standing up suddenly.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Free text
Release 7 — day 14, dose 1
Symptoms: Just an ear ache which is making my jaw hurt. No idea if this is connected, but I havent had an ear ache or infection in about a decade
Release 8 — day 21, dose 2
Symptoms: Ive just noticed a lag in energy. I dont know if its the heat, or poor sleep, but I just seem to drag
Release 9 — 3 months, dose 2
Symptoms: Specifically, a problem with digesting unrefined sugarsthey seem to go right through me.
Release 11 — 12 months, dose 2
Symptoms: Just bouts of dizziness or a sense of disorientation not related to food, beverage or standing up suddenly.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Disorientation | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Sluggishness | ✓ | ✓ | ✓ |
| SD | Sucrose intolerance | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release