3TT-11392-01071
4 vaccinations
14 coded responses
40 check-ins
14 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 810 / CO
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
- 2021-03-30
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessFree text: Sweating when I sleep at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessFree text: Just at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 1MedDRA: Hot flush — Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessFree text: Hot flashes at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-20
Survey response — day 21, dose 1MedDRA: Dizziness, Tremor — Feeling: GoodFree text: Just have been getting like shaky almost like an anxious feeling once in a while and lightheaded a lotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Dose 2 — Moderna
- 2021-04-27
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Oxygen saturation decreased — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Couldn't breathe last night when I was sleeping kept on waking up had really bad congestion my oxygen level dropped to 95MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Muscle or body achesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-04
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: Good · Fever · Headache, Muscle or body achesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-05-18
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Just tired most days and headaches here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Just headaches and fatigue dailyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 35, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Just exhausted all the time and daily headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-07-27
- 2021-10-26
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2021-11-17
Dose 3 — Moderna
- 2022-04-27
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2022-05-24
Dose 4 — Moderna
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2022-05-24
Survey response — day 0, dose 4MedDRA: Chest pain — Feeling: Good · Site: Pain · HeadacheFree text: Slight chest pian like twisted but only in the first hour after shotMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Irritability — Feeling: Fair · Fever · HeadacheFree text: Extremely irritableMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Irritability — Feeling: Fair · Fever · Chills, Headache, Joint painsFree text: IrritableMedDRA releases: 2024-11 · check-in free text available
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2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-05-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
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2022-11-22
Survey response — 6 months, dose 4MedDRA: Angina pectoris, Chest pain — Feeling: Fair · Be unable to work or attend schoolFree text: Heart and chest painsMedDRA releases: 2024-11 · check-in free text available
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sweating when I sleep at night
Systemic reaction (other): Just at night
Release 7 — day 7, dose 1
Systemic reaction (other): Hot flashes at night
Release 7 — day 21, dose 1
Symptoms: Just have been getting like shaky almost like an anxious feeling once in a while and lightheaded a lot
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back pain
Systemic reaction (other): Couldn't breathe last night when I was sleeping kept on waking up had really bad congestion my oxygen level dropped to 95
Release 8 — day 7, dose 2
Systemic reaction (other): Lower back pain
Release 8 — day 21, dose 2
Symptoms: Just tired most days and headaches here and there
Release 8 — day 28, dose 2
Symptoms: Just headaches and fatigue daily
Release 8 — day 35, dose 2
Symptoms: Just exhausted all the time and daily headaches
Release 11 — day 0, dose 4
Systemic reaction (other): Slight chest pian like twisted but only in the first hour after shot
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Extremely irritable
Systemic reaction (other): Irritable
Release 12 — 6 months, dose 4
Symptoms: Heart and chest pains
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 | Angina pectoris | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release