3YB-20056-53942
4 vaccinations
8 coded responses
37 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 210 / MD
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 1 — Moderna
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Dose 2 — Moderna
-
2021-05-17
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
- 2021-05-19
- 2021-05-20
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Fair · Headache, Muscle or body achesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-23
- 2021-05-24
-
2021-05-31
Survey response — day 14, dose 2MedDRA: Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Prolonged headache lasting several days. General feeling of malaise. Feeling better today though. Cant say if it is related to the vaccine or not. I dont tend to get headaches often.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-14
- 2021-06-21
-
2021-06-30
Survey response — day 42, dose 2MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain. Going to the cardiologist tomorrow for a stress test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-30
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-04
- 2021-08-16
- 2021-11-17
-
2021-11-23
Dose 3 — Moderna
- 2022-05-20
-
2022-05-25
Dose 4 — Moderna
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2022-05-28
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Throat clearing — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Coughing, clearing throatMedDRA releases: 2024-11 · check-in free text available
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2022-05-29
Survey response — days 1–6 daily, dose 4MedDRA: Asthma, Pre-existing disease — Feeling: Fair · HeadacheFree text: Asthma has been worse since the day after the vaccine was administered.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
-
2022-05-31
Survey response — days 1–6 daily, dose 4MedDRA: Back pain, Musculoskeletal discomfort — Feeling: FairFree text: Pain/discomfort on left side of backMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-08
- 2022-06-15
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2022-06-24
Survey response — day 28, dose 4MedDRA: Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Extreme sore throat and mild headache which lasted about a week. However, I took multiple Covid tests days apart and all were negative.MedDRA releases: 2024-11 · check-in free text available
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2022-06-24
Report sent to call center — day 28, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-27
- 2022-06-27
- 2022-07-01
- 2022-07-06
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2022-11-25
Survey response — 6 months, dose 4MedDRA: Oesophageal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pain in esophagusMedDRA releases: 2024-11 · check-in free text available
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2022-11-25
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-29
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-17 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain
Release 8 — day 14, dose 2
Symptoms: Prolonged headache lasting several days. General feeling of malaise. Feeling better today though. Cant say if it is related to the vaccine or not. I dont tend to get headaches often.
Release 9 — day 42, dose 2
Symptoms: Chest pain. Going to the cardiologist tomorrow for a stress test.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Coughing, clearing throat
Systemic reaction (other): Asthma has been worse since the day after the vaccine was administered.
Systemic reaction (other): Pain/discomfort on left side of back
Release 12 — day 28, dose 4
Symptoms: Extreme sore throat and mild headache which lasted about a week. However, I took multiple Covid tests days apart and all were negative.
Release 12 — 6 months, dose 4
Symptoms: Pain in esophagus
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oesophageal pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Throat clearing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release