3PU-11538-92063
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 871 / NM
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
-
2021-02-20
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: Feel fatiguedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Paranasal sinus discomfort — Feeling: Good · Muscle or body achesFree text: Forgot to mention the day after the second vaccine in addition to body ache i felt like my sinuses were infected ( felt pressure on my upper cheeks just below eyes)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Survey response — day 35, dose 2MedDRA: Ear discomfort — Feeling: FairFree text: Have been feeling pressure in my ears - after my first vaccination i felt it off and on and after the second it has been more persistent. Did not report it earlier as i thought the feeling would go away and perhaps it was random.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Free text
Release 4 — day 21, dose 1
Symptoms: Feel fatigued
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to mention the day after the second vaccine in addition to body ache i felt like my sinuses were infected ( felt pressure on my upper cheeks just below eyes)
Release 6 — day 35, dose 2
Symptoms: Have been feeling pressure in my ears - after my first vaccination i felt it off and on and after the second it has been more persistent. Did not report it earlier as i thought the feeling would go away and perhaps it was random.
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 | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release