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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

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-26
    Health check-in — day 0, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Myalgia, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free 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
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain, Feeling abnormal, Headache, Memory impairment, Myalgia, Pain, Pre-existing disease — Feeling: Good · Headache
    Free 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
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling hot, Insomnia, Pyrexia — Feeling: Good · Fever · Rash, not including the immediate area around the injection site
    Free 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
  8. 2021-04-23
    Dose 2 — Moderna
  9. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-04-30
    Survey response — day 7, dose 2
    MedDRA: Dizziness, Headache, Paranasal sinus hypersecretion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free 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
  11. 2021-05-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

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.

2021-03-28

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.

2021-03-29

Systemic reaction (other): The fogginess in my head that I felt yesterday feels like its not as bad today.

2021-03-30

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

2021-04-30

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParanasal sinus hypersecretion ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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