3TM-28837-98247
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-03-06
Registered in v-safe
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2021-03-26
Dose 1 — Moderna
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2021-03-26
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Myalgia, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Muscle/body aches and fatigue/tiredness went from starting to feel moderate today between 12am and 5am to later becoming mild later in the afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Feeling abnormal, Headache, Memory impairment, Myalgia, Pain, Pre-existing disease — Feeling: Good · HeadacheFree text: I dont know if what I have today is really a mild headache, my head just feels foggy in a way that is similar to when my head feels foggy throughout the day as a result of me accidentally forgetting to take my 1 Vyvanse 50mg capsule medication in the morning, and I want to say that it is rare for me to not take my 1 Vyvanse 50mg capsule medication in the morning. Also, I forgot to mention that I had moderate abdominal pain during yesterday. Both the moderate abdominal pain that I had yesterday and the moderate muscle/body aches that I had yesterday each started and ended at the same time during yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The fogginess in my head that I felt yesterday feels like its not as bad today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Feeling hot, Insomnia, Pyrexia — Feeling: Good · Fever · Rash, not including the immediate area around the injection siteFree text: I felt feverish as in I felt this hot and dizzy feeling in my head. Though I want to mention that I got between no sleep to 3 hours of sleep last night, though I have never before felt a hot and dizzy feeling in my head as a result of getting between no sleep to 3 hours of sleep in any way.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Dose 2 — Moderna
- 2021-04-23
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2021-04-30
Survey response — day 7, dose 2MedDRA: Dizziness, Headache, Paranasal sinus hypersecretion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness and headache, I feel like my head is going to explode and there is pressure near my nose with drainage, I never felt anything like this before until after a few days after I received my second vaccination which has been going on for days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle/body aches and fatigue/tiredness went from starting to feel moderate today between 12am and 5am to later becoming mild later in the afternoon.
Systemic reaction (other): I dont know if what I have today is really a mild headache, my head just feels foggy in a way that is similar to when my head feels foggy throughout the day as a result of me accidentally forgetting to take my 1 Vyvanse 50mg capsule medication in the morning, and I want to say that it is rare for me to not take my 1 Vyvanse 50mg capsule medication in the morning. Also, I forgot to mention that I had moderate abdominal pain during yesterday. Both the moderate abdominal pain that I had yesterday and the moderate muscle/body aches that I had yesterday each started and ended at the same time during yesterday.
Systemic reaction (other): The fogginess in my head that I felt yesterday feels like its not as bad today.
Systemic reaction (other): I felt feverish as in I felt this hot and dizzy feeling in my head. Though I want to mention that I got between no sleep to 3 hours of sleep last night, though I have never before felt a hot and dizzy feeling in my head as a result of getting between no sleep to 3 hours of sleep in any way.
Release 8 — day 7, dose 2
Systemic reaction (other): Dizziness and headache, I feel like my head is going to explode and there is pressure near my nose with drainage, I never felt anything like this before until after a few days after I received my second vaccination which has been going on for days.
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release