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3ZB-39409-85818

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
36-40
ZIP prefix
500 / IA
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache, Nausea
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain · Be unable to do your normal daily activities
    Free text: Moderate abdominal pain overnight feeling ok today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Abnormal dreams, Feeling hot — Feeling: Good
    Free text: Not sure If it is related however I have woken up between 2am and 3am for the past 4 days I feel hot but not hot like a fever. Also having vivid dreams. Again not sure if related there has been nothing else new as far as meds. Just thought I would report it. It may not be related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-28
    Dose 2 — Moderna
  14. 2021-01-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  20. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-25
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain, Chest pain, Middle insomnia — Feeling: Good
    Free text: Since having the vaccine I have been awoken at night by abdominal pain. It has only occurred about 6 times. I do not remember ever waking up from belly pain in the past. It may be unrelated. I have also had chest pain a few times which I have not had
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-30
    Survey response — 12 months, dose 2
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Cough runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Moderate abdominal pain overnight feeling ok today

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Not sure If it is related however I have woken up between 2am and 3am for the past 4 days I feel hot but not hot like a fever. Also having vivid dreams. Again not sure if related there has been nothing else new as far as meds. Just thought I would report it. It may not be related.

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Since having the vaccine I have been awoken at night by abdominal pain. It has only occurred about 6 times. I do not remember ever waking up from belly pain in the past. It may be unrelated. I have also had chest pain a few times which I have not had cut off by CDC

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Cough runny nose

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough · · ✓
SDMiddle insomnia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SROAbdominal pain ✓ ✓ ✓
SROAbnormal dreams ✓ ✓ ✓
SROBody temperature increased ○ ○ ○
SROFeeling hot ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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