3H9-32013-80118
4 vaccinations
8 coded responses
39 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 225 / VA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Good · Site: PainFree text: Injection arm skin on forearm sensitive slightly painful to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Diarrhoea — Feeling: Good · Site: Pain · Chills, DiarrheaFree text: MILD Chills were YESTERDAY AFTER I submitted yesterday's update. MILD Diarrhea was TODAY for only a short time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Diarrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On and off watery diarrhea for 2+ months. COVID test negative. C.diff test negative. Various pathogen, parasite test negative. Waiting for gastro appointment early September.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Leg cramps overnight. Unusual for me.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms — Feeling: GoodFree text: Leg cramping, which I think may be caused new prescriptions, but not a result of the vax.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
-
2021-12-07
Survey response — day 42, dose 3MedDRA: Colitis, Diarrhoea, Pancreatitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Please note: I feel OK. I suspect that I may have developed pancreatitis and colitis beginning about 3 months following my second Moderna vaccination. I experienced virtually ONLY diarrhea for over 4 months, until I was diagnosed and am under treatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-08
-
2022-01-06
Dose 4 — Pfizer-BioNTech
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Colitis microscopic, Diarrhoea, Pancreatitis — Feeling: FairFree text: Pancreatitis and lymphocytic colitis. Continue with Rx Creon. Recently ended 90 days Rx Budesonide. Intermittent diarrhea returned.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Arthralgia, Fatigue — Feeling: GoodFree text: After 2nd booster, more shoulder pain (than 2 vax and 1st booster) for several days, and fatigue for several days longer.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-01-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Injection arm skin on forearm sensitive slightly painful to touch.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): MILD Chills were YESTERDAY AFTER I submitted yesterday's update. MILD Diarrhea was TODAY for only a short time.
Release 9 — 6 months, dose 2
Symptoms: On and off watery diarrhea for 2+ months. COVID test negative. C.diff test negative. Various pathogen, parasite test negative. Waiting for gastro appointment early September.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Leg cramps overnight. Unusual for me.
Systemic reaction (other): Leg cramping, which I think may be caused new prescriptions, but not a result of the vax.
Release 10 — day 42, dose 3
Symptoms: Please note: I feel OK. I suspect that I may have developed pancreatitis and colitis beginning about 3 months following my second Moderna vaccination. I experienced virtually ONLY diarrhea for over 4 months, until I was diagnosed and am under treat cut off by CDC
Release 11 — 3 months, dose 3
Symptoms: Pancreatitis and lymphocytic colitis. Continue with Rx Creon. Recently ended 90 days Rx Budesonide. Intermittent diarrhea returned.
Release 11 — 6 months, dose 3
Symptoms: After 2nd booster, more shoulder pain (than 2 vax and 1st booster) for several days, and fatigue for several days longer.
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 | Arthralgia | · | · | ✓ |
| SD | Colitis | · | · | ✓ |
| SD | Colitis microscopic | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pancreatitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release