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42R-30433-63890

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
890 / NV
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache
    Adult check-in
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Body temperature fluctuation — Feeling: Fair · Chills
    Free text: Body temp for years is always low. Reds from 96.8°F to 97.6°F at bed time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Chills, Headache
    Free text: My normal body temperature is below the 98.6F by 1-2 degrees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-01-27
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Chills, Headache, Joint pains
    Free text: Oral Temp is always below 98.6F , 97.5F last bedtIme
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-17
    Survey response — day 28, dose 1
    MedDRA: Headache, Tinnitus — Feeling: Fair
    Free text: Some headaches and near constant tinnitus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-24
    Survey response — day 35, dose 1
    MedDRA: Headache, Tinnitus — Feeling: Fair
    Free text: SOME SHORT HEADACHES. INCREASED TINTINITIS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache
    Adult check-in
  15. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gait disturbance, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains
    Free text: Increase the decline in tintinitis. Balance walking is less ceertain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Chills, Headache
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature decreased — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Body temp is ALWAGS below the usual 98.6F. 96.7 lastt bedtime.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Tinnitus — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Abdominal pain
    Free text: tintunitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair
    Free text: Tintinitus worst, a bit louder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-28
    Survey response — day 28, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Frequeent headaches, not severs,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-04
    Survey response — day 35, dose 2
    MedDRA: Headache, Pruritus — Feeling: Fair
    Free text: bead acbe freqhency. and a litt;e more intenseback itching spots
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-12
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Poor
    Free text: headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-25Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Body temp for years is always low. Reds from 96.8°F to 97.6°F at bed time.

2021-01-25

Systemic reaction (other): My normal body temperature is below the 98.6F by 1-2 degrees.

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Oral Temp is always below 98.6F , 97.5F last bedtIme

Release 4 — day 28, dose 1

2021-02-17

Symptoms: Some headaches and near constant tinnitus.

Release 4 — day 35, dose 1

2021-02-24

Symptoms: SOME SHORT HEADACHES. INCREASED TINTINITIS

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Increase the decline in tintinitis. Balance walking is less ceertain.

2021-03-02

Systemic reaction (other): Body temp is ALWAGS below the usual 98.6F. 96.7 lastt bedtime.

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): tintunitis

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Tintinitus worst, a bit louder

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Frequeent headaches, not severs,

Release 6 — day 35, dose 2

2021-04-04

Symptoms: bead acbe freqhency. and a litt;e more intenseback itching spots

Release 7 — day 42, dose 2

2021-04-12

Symptoms: headaches

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
SDHeadache ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROBody temperature decreased ✓ ✓ ✓
SROBody temperature fluctuation ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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