3H9-32900-82204
3 vaccinations
7 coded responses
33 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-21
Registered in v-safe
-
2021-02-21
Dose 1 — Moderna
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2021-02-21
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Slightly dizzy for 20-30 minutes 45-60 minutes after vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-28
- 2021-03-07
- 2021-03-14
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2021-03-21
Dose 2 — Moderna
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2021-03-21
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: A bit dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling abnormal, Headache, Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Some brain fog a few hours after 2nd Moderna but now mostly headache and fatigue and general malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-11
- 2021-04-19
- 2021-04-27
- 2021-05-02
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2021-06-20
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Left arm is sore near vaccination site which seems odd given how long it has been since second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-19
Survey response — 6 months, dose 2MedDRA: Exercise lack of, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Occasional bouts of fatigue and a few headache days (scattered) but have been too sedentary for the past 18 monthsMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Dose 3 — Pfizer-BioNTech
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness & brain fog but also took a higher dose of AmlodipineMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-02
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
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2021-12-04
Survey response — day 35, dose 3MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Recuperating from a colonoscopy, colon cleansing preparation including fasting, & sedation. Not COVID or vaccine related.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Moderna | |
| 2 | 2021-03-21 | Moderna | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slightly dizzy for 20-30 minutes 45-60 minutes after vaccination
Release 6 — day 0, dose 2
Systemic reaction (other): A bit dizzy
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Some brain fog a few hours after 2nd Moderna but now mostly headache and fatigue and general malaise
Release 9 — 3 months, dose 2
Symptoms: Left arm is sore near vaccination site which seems odd given how long it has been since second shot
Release 9 — 6 months, dose 2
Symptoms: Occasional bouts of fatigue and a few headache days (scattered) but have been too sedentary for the past 18 months
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness & brain fog but also took a higher dose of Amlodipine
Release 10 — day 35, dose 3
Symptoms: Recuperating from a colonoscopy, colon cleansing preparation including fasting, & sedation. Not COVID or vaccine related.
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 | Exercise lack of | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release