3HW-82850-85007
5 vaccinations
16 coded responses
60 check-ins
14 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Mild headache yesterday and today l LloydMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Fair · HeadacheFree text: I need to wear an extra sweatshirt to feel comfortable. I dont consider it chills. Tempurature normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: Fair · HeadacheFree text: Still having a little trouble staying warm, but not chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 7, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headachs a little less todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
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2021-02-18
Dose 2 — Moderna
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, HeadacheFree text: Tylenol for headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache · Be unable to workAdult check-in
- 2021-02-21
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 28, dose 2MedDRA: Headache, Medical counselling, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headaches are not letting up. I have had a problem with migraines up till 2 years ago. After I started taking Emgality shotS 2 years ago, they were completely gone. The headaches started up right after the 1st shot and have been every day since. · Healthcare visit (other): Email to DrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalno matching call case
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2021-03-25
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches are bad! Everything else is good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-05-20
- 2021-08-19
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2021-10-25
Dose 3 — Moderna
- 2021-10-25
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-10-30
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-11-01
- 2021-11-08
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2021-11-15
Survey response — day 21, dose 3MedDRA: Migraine — Feeling: FairFree text: Migraine headachesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
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2022-04-02
Dose 4 — Moderna
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2022-04-14
Health check-in — day 7, dose 4Feeling: Good · Site: Redness, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-04-16
- 2022-04-23
- 2022-05-01
- 2022-05-07
- 2022-05-14
- 2022-07-03
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2022-10-01
Survey response — 6 months, dose 4MedDRA: COVID-19 pneumonia — Feeling: Good · 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: Covid-pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2022-10-01
Report sent to call center — 6 months, dose 4Be 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)
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2022-10-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-09
Dose 5 — Moderna
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2022-11-09
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache, DiarrheaFree text: No uMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills, HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, DiarrheaAdult check-in
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2022-11-13
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-14
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
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2023-02-08
Survey response — 3 months, dose 5MedDRA: Migraine, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-02-08
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-09
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2023-05-10
Survey response — 6 months, dose 5MedDRA: Cerebral haemorrhage — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-11-09 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 check-in flagged for a call with no call center case on record
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild headache yesterday and today l Lloyd
Systemic reaction (other): I need to wear an extra sweatshirt to feel comfortable. I dont consider it chills. Tempurature normal.
Systemic reaction (other): Still having a little trouble staying warm, but not chills.
Release 3 — day 7, dose 1
Systemic reaction (other): Headachs a little less today
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tylenol for headache.
Release 5 — day 28, dose 2
Symptoms: Headaches are not letting up. I have had a problem with migraines up till 2 years ago. After I started taking Emgality shotS 2 years ago, they were completely gone. The headaches started up right after the 1st shot and have been every day since.
Healthcare visit (other): Email to Dr
Release 6 — day 35, dose 2
Symptoms: Headaches are bad! Everything else is good.
Release 10 — day 21, dose 3
Symptoms: Migraine headaches
Release 12 — 6 months, dose 4
Symptoms: Covid-pneumonia
Release 12 — day 0, dose 5
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No u
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Migraine | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cerebral haemorrhage | · | · | ✓ |
| SD | COVID-19 pneumonia | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release