3YF-16266-39900
4 vaccinations
8 coded responses
50 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 287 / NC
- Registered
- 2021-05-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-24
Registered in v-safe
-
2021-05-24
Dose 1 — Moderna
- 2021-05-24
- 2021-05-25
-
2021-05-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-07
- 2021-06-14
-
2021-06-21
Dose 2 — Moderna
- 2021-06-21
-
2021-06-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-24
- 2021-06-25
- 2021-06-26
- 2021-06-27
- 2021-06-30
- 2021-07-05
- 2021-07-12
- 2021-07-19
- 2021-07-26
- 2021-08-03
- 2021-09-20
-
2021-12-20
Survey response — 6 months, dose 2MedDRA: Arthralgia, Myalgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint and muscle pain; cervical pain;MedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Dose 3 — Moderna
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2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-12-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-28
- 2021-12-29
- 2021-12-30
- 2022-01-06
-
2022-01-13
Survey response — day 21, dose 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Viral coldMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Survey response — day 28, dose 3MedDRA: Asthenia, Cough, Nasal congestion, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Viral cold symptoms, dry cough, post-nasal discharge, nasal stuffiness, low energyMedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
- 2022-02-03
-
2022-03-24
Survey response — 3 months, dose 3MedDRA: Antinuclear antibody increased, Inflammation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Undiagnosed inflammatory process. Very high ANA tiger; cause TBD.MedDRA releases: 2024-11 · check-in free text available
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2022-06-23
Survey response — 6 months, dose 3MedDRA: Arthralgia, Cough, Fatigue, Lethargy, Productive cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Increased joint pain; cough (productive and non-productive); fatigue; lethargyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Dose 4 — Moderna
- 2022-10-06
- 2022-10-08
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2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Illness, Respiratory symptom, Respiratory tract congestion — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cough; congestion; appear to have symptoms of URI · Healthcare visit (other): Scheduled follow-up with PCP; unable to travel to PCP office due to illnessMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasal congestion, Respiratory symptom — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: URI symptoms (non-productive cough, nasal congestion)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-15
- 2022-10-20
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2022-10-27
Survey response — day 21, dose 4MedDRA: Cough, Injection site pain, Injection site reaction, Nasal congestion, Respiratory symptom, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: URI symptoms (cough, stuffy nose, post-nasal drip). Two days ago, I started feeling phantom symptoms in the area where I received the shot: a vague stinging almost like what I felt on the day of the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-24 | Moderna | |
| 2 | 2021-06-21 | Moderna | No |
| 3 | 2021-12-23 | Moderna | No |
| 4 | 2022-10-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — 6 months, dose 2
Symptoms: Joint and muscle pain; cervical pain;
Release 10 — day 21, dose 3
Symptoms: Viral cold
Release 10 — day 28, dose 3
Symptoms: Viral cold symptoms, dry cough, post-nasal discharge, nasal stuffiness, low energy
Release 11 — 3 months, dose 3
Symptoms: Undiagnosed inflammatory process. Very high ANA tiger; cause TBD.
Release 12 — 6 months, dose 3
Symptoms: Increased joint pain; cough (productive and non-productive); fatigue; lethargy
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cough; congestion; appear to have symptoms of URI
Healthcare visit (other): Scheduled follow-up with PCP; unable to travel to PCP office due to illness
Systemic reaction (other): URI symptoms (non-productive cough, nasal congestion)
Release 12 — day 21, dose 4
Symptoms: URI symptoms (cough, stuffy nose, post-nasal drip). Two days ago, I started feeling phantom symptoms in the area where I received the shot: a vague stinging almost like what I felt on the day of the shot.
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 |
|---|---|---|---|---|
| HCVO | Illness | · | · | ✓ |
| SD | Antinuclear antibody increased | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Respiratory symptom | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release