3Y8-14045-54469
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 992 / WA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 1MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache for the last couple of days. It doesnt seem to be sinus or allergy or muscle tension related as antihistamines, decongestants and analgesics dont seem to help like usual. Not certain it is the vaccine but could be?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: Headache comes and goes. I cant say it is the vaccine for certain but it is definitely out of the norm for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Dose 2 — Moderna
-
2021-05-28
Survey response — day 14, dose 2MedDRA: Headache — Feeling: FairFree text: Random headache, same type as the day or two after initial shot but less intense. Generally run down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-11
- 2021-06-18
- 2021-08-13
- 2021-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna |
Free text
Release 8 — day 14, dose 1
Symptoms: Headache for the last couple of days. It doesnt seem to be sinus or allergy or muscle tension related as antihistamines, decongestants and analgesics dont seem to help like usual. Not certain it is the vaccine but could be?
Release 8 — day 21, dose 1
Symptoms: Headache comes and goes. I cant say it is the vaccine for certain but it is definitely out of the norm for me.
Release 8 — day 14, dose 2
Symptoms: Random headache, same type as the day or two after initial shot but less intense. Generally run down.
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 | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release