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3Q2-20647-40419

4 vaccinations 9 coded responses 50 check-ins 9 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
063 / CT
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: Swollen lymph node below ear only on side of shot (right).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: swollen lymph node below ear on same side as shot (right)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-30
    Dose 2 — Moderna
  12. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-20
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain upper, Asthenia, Chills — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Chills, stomach ache, no energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Anaemia, Blood iron decreased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Anemia (very low iron), I assume unrelated to COVID vax · Healthcare visit (other): Discovered at regularly scheduled hematologist visit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-01
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-07-07
  28. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-28
    Dose 3 — Moderna
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chromaturia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea
    Free text: I have dark brown/red urine today, on day 2 after Moderna booster shot. This is the first time I've had (what I assume is) hemoglobinuria since being diagnosed with paroxysmal nocturnal hemoglobinuria (PNH) in 2018.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chromaturia — Feeling: Fair · Nausea
    Free text: dark brown/red urine again today
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-08
    Dose 4 — Moderna
  44. 2022-04-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  45. 2022-04-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain
    Free text: Extravascular hemolysis (dark urine). I have PNH (a blood disease), of which this is a symptom, but one that I only experience after Covid vaccine shots.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chromaturia, Haemolysis, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Nausea
    Free text: Dark red urine again today due to PNH, hemolysis
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-04-13
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chromaturia, Thirst — Feeling: Good
    Free text: Still have dark red urine but not as bad as yesterday. Constant thirst.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-04-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-04-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-10-09
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-30Moderna
32021-10-28Moderna No
42022-04-08Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Swollen lymph node below ear only on side of shot (right).

2021-03-07

Systemic reaction (other): swollen lymph node below ear on same side as shot (right)

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Chills, stomach ache, no energy

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Anemia (very low iron), I assume unrelated to COVID vax
Healthcare visit (other): Discovered at regularly scheduled hematologist visit.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): I have dark brown/red urine today, on day 2 after Moderna booster shot. This is the first time I've had (what I assume is) hemoglobinuria since being diagnosed with paroxysmal nocturnal hemoglobinuria (PNH) in 2018.

2021-10-31

Systemic reaction (other): dark brown/red urine again today

Release 11 — days 1–6 daily, dose 4

2022-04-10

Systemic reaction (other): Extravascular hemolysis (dark urine). I have PNH (a blood disease), of which this is a symptom, but one that I only experience after Covid vaccine shots.

2022-04-11

Systemic reaction (other): Dark red urine again today due to PNH, hemolysis

2022-04-13

Systemic reaction (other): Still have dark red urine but not as bad as yesterday. Constant thirst.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDAnaemia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBlood iron decreased · · ✓
SDChills ✓ ✓ ✓
SROChromaturia · · ✓
SROCondition aggravated · · ✓
SROHaemolysis · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROPre-existing disease · · ✓
SROThirst · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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