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464-13266-35006

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
077 / NJ
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Health check-in — day 0, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Free text: Upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Nausea — Feeling: Fair · Nausea
    Free text: Nausea can be from something I ate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Headache, Malaise, Oropharyngeal pain — Feeling: Fair
    Free text: I normally dont get sick with sore throats, headaches low energy. Lately since getting the first shot I constantly have a sore throat and the feeling of getting sick. Then, the feeling goes away as of the next day: just not like me. Is it the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Dose 2 — Moderna
  13. 2021-02-10
    Survey response — day 0, dose 2
    MedDRA: Hyperhidrosis, Lip swelling — Feeling: Good · Fatigue or tiredness
    Free text: Within 10 mins of receiving the 2nd shot I felt sweaty and the feeling that my lips were swollen. Shortly after the sweating of the feeling of having swollen lips totally stopped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  15. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  17. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  18. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  19. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  21. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tinnitus · Healthcare visit (other): Otolaryngology
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-13
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-19
  30. 2022-02-10
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Upset stomach

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Nausea can be from something I ate.

Release 2 — day 14, dose 1

2021-01-27

Symptoms: I normally dont get sick with sore throats, headaches low energy. Lately since getting the first shot I constantly have a sore throat and the feeling of getting sick. Then, the feeling goes away as of the next day: just not like me. Is it the shot

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Within 10 mins of receiving the 2nd shot I felt sweaty and the feeling that my lips were swollen. Shortly after the sweating of the feeling of having swollen lips totally stopped.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Tinnitus
Healthcare visit (other): Otolaryngology

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
HCVOOffice visit ✓ · ✓
SDAsthenia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDTinnitus ✓ · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SRONausea ✓ ✓ ✓

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