3E8-30167-67838
2 vaccinations
8 coded responses
21 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 209 / MD
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 21, dose 1MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: GoodFree text: Mild, lingering mucus congestion in throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Dose 2 — Moderna
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pyrexia — Feeling: GoodFree text: No. All better from yesterdays fever and body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tirednessFree text: Dizziness, mild vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: FairFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: A Little lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Minor lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: GoodFree text: A little lightheadedness. This symptom should be added to the checkboxes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-07-16
- 2021-10-17
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Office visit, Self-medication, Skin discolouration, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Acute urticaria. Began in mid-October and lasted for about 2 months. 10mg Zyrtec/ day controlled symptoms. Gradually tapered off medication. Now have 4 brown spots on hand. Going to see allergist. Could be urticaria pigmentosa. Could be a fungus. We · Healthcare visit (other): Immunologist/allergist office visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: Mild, lingering mucus congestion in throat.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No. All better from yesterdays fever and body aches.
Systemic reaction (other): Dizziness, mild vertigo
Systemic reaction (other): Lightheaded
Systemic reaction (other): A Little lightheaded
Systemic reaction (other): Minor lightheadedness
Release 7 — day 7, dose 2
Systemic reaction (other): A little lightheadedness. This symptom should be added to the checkboxes.
Release 11 — 12 months, dose 2
Symptoms: Acute urticaria. Began in mid-October and lasted for about 2 months. 10mg Zyrtec/ day controlled symptoms. Gradually tapered off medication. Now have 4 brown spots on hand. Going to see allergist. Could be urticaria pigmentosa. Could be a fungus. We cut off by CDC
Healthcare visit (other): Immunologist/allergist office visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release