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3WN-23604-32151

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
234 / VA
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-22
    Dose 2 — Moderna
  3. 2021-02-24
    Registered in v-safe
  4. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vertigo — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  9. 2021-03-01
    Survey response — day 7, dose 2
    MedDRA: Prostatic specific antigen increased — Feeling: Fair · Headache, Joint pains, Muscle or body aches
    Free text: Annual PSA screening test just came back significantly above my baseline of under 1.0. This yesr 6.4, four days after second Moderna shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-08
    Survey response — day 14, dose 2
    MedDRA: Prostatic specific antigen increased — Feeling: Good
    Free text: Annual PSA was through the roof. Ordinarily around 1.0 every year for long time, this time 6.4. Another test in 6 weeks. Moderna vaccine play a role?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-15
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Feeling abnormal, Headache, Pain — Feeling: Fair · Be unable to work
    Free text: fatigue, head and body aches and fogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-22
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Dizziness, Feeling abnormal, Nausea — Feeling: Good · Be unable to work
    Free text: Dizziness, fogginess, aching joints, nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-02-22
    Survey response — 12 months, dose 2
    MedDRA: Knee arthroplasty — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Knee replacement surgery 1 week ago.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Vertigo

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): Annual PSA screening test just came back significantly above my baseline of under 1.0. This yesr 6.4, four days after second Moderna shot.

Release 5 — day 14, dose 2

2021-03-08

Symptoms: Annual PSA was through the roof. Ordinarily around 1.0 every year for long time, this time 6.4. Another test in 6 weeks. Moderna vaccine play a role?

Release 5 — day 21, dose 2

2021-03-15

Symptoms: fatigue, head and body aches and fogginess

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Dizziness, fogginess, aching joints, nausea

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Knee replacement surgery 1 week ago.

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
SDArthralgia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDKnee arthroplasty · · ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDProstatic specific antigen increased ✓ ✓ ✓
SROProstatic specific antigen increased ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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