3YG-26916-71097
4 vaccinations
6 coded responses
55 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
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2021-03-03
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-25
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
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2021-04-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-04-11
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-22
- 2021-04-28
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2021-05-05
Survey response — day 28, dose 2MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Intense back and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-20
- 2021-07-07
- 2021-10-06
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2021-10-29
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Vertigo — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Minor vertigoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache · Be unable to work or attend schoolAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 35, dose 3MedDRA: Deafness unilateral, Irritability — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Strange hearing issues in R ear has persisted and worsened over the past week. Slightly improved today. Increased irritability.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Ageusia, Arthralgia, Chills, Fatigue, Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Loss of taste, headaches, fatigue, chills, joint pain, etcMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
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2022-10-24
Dose 4 — Moderna
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2022-10-24
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Bone disorder, Discomfort, Feeling cold, Nasopharyngitis — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Feels like dense cold concrete in my bones. Cold and heavy feeling. Cold has been pretty normal for me with the shots but this is new.MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-28
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2022-10-29
Survey response — days 1–6 daily, dose 4MedDRA: Frustration tolerance decreased — Feeling: GoodFree text: Frustration - Trump should be arrested for TREASON!!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-07
- 2023-01-23
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-24 | Moderna | No |
Free text
Release 8 — day 28, dose 2
Symptoms: Intense back and joint pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Minor vertigo
Release 10 — day 35, dose 3
Symptoms: Strange hearing issues in R ear has persisted and worsened over the past week. Slightly improved today. Increased irritability.
Release 11 — 3 months, dose 3
Symptoms: Loss of taste, headaches, fatigue, chills, joint pain, etc
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Feels like dense cold concrete in my bones. Cold and heavy feeling. Cold has been pretty normal for me with the shots but this is new.
Systemic reaction (other): Frustration - Trump should be arrested for TREASON!!!!
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 | Ageusia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Deafness unilateral | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SRO | Bone disorder | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Frustration tolerance decreased | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release