3Z7-26196-42598
5 vaccinations
5 coded responses
49 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 068 / CT
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Gingival bleeding, Gingival pain — Feeling: GoodFree text: Starting to have gum problems (tender, bleeding) that I normally experience only when ill. Wondering if maybe, for me, this is a function of my immune system responding to something going on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-19
- 2021-02-24
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-15
Survey response — day 14, dose 2MedDRA: Fatigue, Hypoaesthesia, Limb discomfort, Pain in extremity, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Following my second shot my arm felt numb & heavy but was not painful. On the 8th morning after the shot I woke up with a sore arm & ran a low grade fever that day & the following 2 days. It was like a timed release reaction. I have felt tired sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
-
2021-08-30
Survey response — 6 months, dose 2MedDRA: Office visit, Tooth extraction, Tooth infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I am now experiencing my 3rd tooth infection. I have already had to have 2 teeth pulled. · Healthcare visit (other): Dental Office VisitsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-30
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-14
Dose 3 — Moderna
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-23
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2021-12-15
- 2021-12-19
- 2021-12-26
- 2022-02-13
-
2022-05-15
Survey response — 6 months, dose 3MedDRA: Cough, Diarrhoea, Dysgeusia, Fatigue, Myalgia, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: High fever, sore throat, cough, metallic taste, nausea, diarrhea, muscle aches, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-16
-
2022-07-14
Dose 4 — Moderna
-
2022-10-07
Dose 5 — Moderna
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
-
2022-10-30
Survey response — day 21, dose 5MedDRA: Lower respiratory tract infection, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head & chest cold. I took 2 at home tests. Results negative for Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-11-14 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Starting to have gum problems (tender, bleeding) that I normally experience only when ill. Wondering if maybe, for me, this is a function of my immune system responding to something going on.
Release 5 — day 14, dose 2
Symptoms: Following my second shot my arm felt numb & heavy but was not painful. On the 8th morning after the shot I woke up with a sore arm & ran a low grade fever that day & the following 2 days. It was like a timed release reaction. I have felt tired since cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: I am now experiencing my 3rd tooth infection. I have already had to have 2 teeth pulled.
Healthcare visit (other): Dental Office Visits
Release 11 — 6 months, dose 3
Symptoms: High fever, sore throat, cough, metallic taste, nausea, diarrhea, muscle aches, fatigue
Release 12 — day 21, dose 5
Symptoms: Head & chest cold. I took 2 at home tests. Results negative for Covid.
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 | Office visit | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tooth extraction | ✓ | · | ✓ |
| SD | Tooth infection | ✓ | · | ✓ |
| SRO | Gingival bleeding | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release