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3FD-26245-93938

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
936 / CA
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-10
    Dose 2 — Moderna
  5. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation, Mental impairment — Feeling: Good · Site: Pain · Headache
    Free text: Mental fog and constipation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free text: Brief moments of light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  11. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Diarrhea
    Adult check-in
  12. 2021-04-17
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain
    Free text: Moderate pain on right side of abdomen in morning till about 12:30 pm, but gone now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-24
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain, Constipation, Decreased appetite, Diarrhoea, Faeces discoloured, Tremor — Feeling: Fair
    Free text: Diahrrea, abdominal pain, constipation days 7-9, slight green poop mixed with brown poop after and lack of appetite on day 10, day 13 and 14 dark almost black poop. Minor shakiness possibly from my anxiety day 10-14 (current).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-15
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain, Cough, Oropharyngeal pain — Feeling: Good
    Free text: I had a cough and sore throat. I still have a cough, but it doesn't happen too often. I also had pain in my left and right abdomen. One day or two was the right abdomen and another was left side. Pain was crampy I guess. Off and on through the day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-22
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain lower, Constipation, Cough, Respiratory tract congestion, Wheezing — Feeling: Good
    Free text: Coughing, first was a wheezing dry cough and developed into stronger more congested cough. Also, constipation and lower abdomen pain (mild).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-09
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Cough, Headache, Myalgia, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Sneezing, sore throat, stuffy nose, runny nose, cough, muscle aches, headache, low energy. Just typical cold symptoms I think.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Mental fog and constipation

2021-04-14

Systemic reaction (other): Brief moments of light headedness

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Moderate pain on right side of abdomen in morning till about 12:30 pm, but gone now.

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Diahrrea, abdominal pain, constipation days 7-9, slight green poop mixed with brown poop after and lack of appetite on day 10, day 13 and 14 dark almost black poop. Minor shakiness possibly from my anxiety day 10-14 (current).

Release 8 — day 35, dose 2

2021-05-15

Symptoms: I had a cough and sore throat. I still have a cough, but it doesn't happen too often. I also had pain in my left and right abdomen. One day or two was the right abdomen and another was left side. Pain was crampy I guess. Off and on through the day. cut off by CDC

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Coughing, first was a wheezing dry cough and developed into stronger more congested cough. Also, constipation and lower abdomen pain (mild).

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Sneezing, sore throat, stuffy nose, runny nose, cough, muscle aches, headache, low energy. Just typical cold symptoms I think.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDAsthenia · · ✓
SDConstipation ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFaeces discoloured ✓ ✓ ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDTremor ✓ ✓ ✓
SDWheezing ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROMental impairment ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release