3LR-21406-40904
4 vaccinations
8 coded responses
53 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 943 / CA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Sensory loss — Feeling: Good · Muscle or body achesFree text: Two v.brief episodes (5 min) of loss of feeling to end of fingers of one hand, left hand then many hours later right hand. No other related problems at the time of loss of feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-06
- 2021-02-13
- 2021-02-22
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Muscle or body achesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Headache, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: About a month ago I had a period of 12 days of serious headaches without fever or other symptoms. Covid was negative. But CT scans and x-rays showed no indication of problems. No allergies, so no explanation.Have felt fine since then.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-10-23
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Malaise — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mental melaiseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 28, dose 3MedDRA: Hypersomnia, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Two days ago I had my second shingles vaccination shot And slept 12 hours yesterday, feeling crummy. And today I feel better but have Covid like symptoms that I attribute to the shingles vaccination But I have no direct evidence for that. ??MedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-09-27
Dose 4 — Moderna
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-04
Survey response — day 7, dose 4MedDRA: Anaemia, Blood iron decreased — Feeling: GoodFree text: Am now anemic, Fe depleted, started being this way after initial covid vacinations. Suspect a causal relationship. Am now actively battling anemia with Fe-rich diet.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-20
-
2022-10-26
Survey response — day 28, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: MAYBE - Is there a correlation between Covid shots and erectile dysfunction?MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
-
2022-11-08
Survey response — day 42, dose 4MedDRA: Atrial fibrillation, Office visit, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Tested positive for Covid, and that triggered a new condition that I never had before: a-fib. Had to go to hospital for treatmentMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-09
- 2022-11-09
-
2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-27
-
2023-03-30
Survey response — 6 months, dose 4MedDRA: Pneumonia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-09-27 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Two v.brief episodes (5 min) of loss of feeling to end of fingers of one hand, left hand then many hours later right hand. No other related problems at the time of loss of feeling.
Release 9 — 6 months, dose 2
Symptoms: About a month ago I had a period of 12 days of serious headaches without fever or other symptoms. Covid was negative. But CT scans and x-rays showed no indication of problems. No allergies, so no explanation.Have felt fine since then.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mental melaise
Release 10 — day 28, dose 3
Symptoms: Two days ago I had my second shingles vaccination shot And slept 12 hours yesterday, feeling crummy. And today I feel better but have Covid like symptoms that I attribute to the shingles vaccination But I have no direct evidence for that. ??
Release 12 — day 7, dose 4
Systemic reaction (other): Am now anemic, Fe depleted, started being this way after initial covid vacinations. Suspect a causal relationship. Am now actively battling anemia with Fe-rich diet.
Release 12 — day 28, dose 4
Symptoms: MAYBE - Is there a correlation between Covid shots and erectile dysfunction?
Release 12 — day 42, dose 4
Symptoms: Tested positive for Covid, and that triggered a new condition that I never had before: a-fib. Had to go to hospital for treatment
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 | Atrial fibrillation | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Anaemia | · | · | ✓ |
| SRO | Blood iron decreased | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Sensory loss | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release