42A-79544-20846
5 vaccinations
19 coded responses
64 check-ins
18 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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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: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal painAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Good · Fatigue or tirednessFree text: Brief weakness in left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 1MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: FairFree text: I have a cold: sneezing, runny nose, and coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
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2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-04
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — day 7, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatiqueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-06-30
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2021-09-29
Survey response — 6 months, dose 2MedDRA: Skin ulcer — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Skin ulcer on ankle.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-01
- 2021-10-07
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tirednessFree text: Cough, runny nose: symptoms of a cold.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Stuffy, runny nose and cough.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — day 7, dose 3MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, cough, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
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2021-11-17
Survey response — day 21, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: FairFree text: Runny and stuffed up nose, sneezing; cold symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-01
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2021-12-08
Survey response — day 42, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: FairFree text: Cold with sniffles, congestion, and some sneezing.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
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2022-04-28
Dose 4 — Moderna
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Injection site discomfort — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Soreness at injection site, but not painful.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
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2022-05-05
Survey response — day 7, dose 4MedDRA: Rhinorrhoea — Feeling: Good · Headache, Fatigue or tirednessFree text: SnifflesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-21
- 2022-05-26
- 2022-06-02
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2022-06-11
Survey response — day 42, dose 4MedDRA: Adverse reaction, Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, coughing, sneezing: cold or allergy symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Survey response — 3 months, dose 4MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headaches in back of head.MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Dose 5 — Moderna
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2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-09-22
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2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Nasopharyngitis, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: Sudden very runny nose and coughing, probably from a cold or allergies.MedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Discharge — Feeling: Good · Headache, Fatigue or tirednessFree text: Cough and drainage.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-09-26
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2022-09-27
Health check-in — day 7, dose 5Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-04
Survey response — day 14, dose 5MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: A little sore throat, along with runny nose and congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-20
- 2022-10-25
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2022-11-01
Survey response — day 42, dose 5MedDRA: Arthralgia, Bruxism — Feeling: GoodFree text: Gritting teeth; sore shoulder.MedDRA releases: 2024-11 · check-in free text available
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2022-12-20
Survey response — 3 months, dose 5MedDRA: Fatigue, Muscle tightness, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue, muscle soreness and tightness. · Healthcare visit (other): Doctor's officeMedDRA releases: 2024-11 · check-in free text available
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2022-12-20
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-21
- 2022-12-21
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2023-03-21
Survey response — 6 months, dose 5MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Brief weakness in left arm.
Release 5 — day 14, dose 1
Symptoms: I have a cold: sneezing, runny nose, and coughing.
Release 8 — day 35, dose 2
Symptoms: Fatique
Release 9 — 6 months, dose 2
Symptoms: Skin ulcer on ankle.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough, runny nose: symptoms of a cold.
Systemic reaction (other): Stuffy, runny nose and cough.
Release 10 — day 7, dose 3
Systemic reaction (other): Runny nose, cough, sneezing
Release 10 — day 21, dose 3
Symptoms: Runny and stuffed up nose, sneezing; cold symptoms.
Release 10 — day 42, dose 3
Symptoms: Cold with sniffles, congestion, and some sneezing.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Soreness at injection site, but not painful.
Release 11 — day 7, dose 4
Systemic reaction (other): Sniffles
Release 12 — day 42, dose 4
Symptoms: Runny nose, coughing, sneezing: cold or allergy symptoms.
Release 12 — 3 months, dose 4
Symptoms: Headaches in back of head.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sudden very runny nose and coughing, probably from a cold or allergies.
Systemic reaction (other): Cough and drainage.
Release 12 — day 14, dose 5
Symptoms: A little sore throat, along with runny nose and congestion.
Release 12 — day 42, dose 5
Symptoms: Gritting teeth; sore shoulder.
Release 12 — 3 months, dose 5
Symptoms: Fatigue, muscle soreness and tightness.
Healthcare visit (other): Doctor's office
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 | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bruxism | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Skin ulcer | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Discharge | · | · | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release