46R-55588-45270
1 vaccination
7 coded responses
13 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 370 / TN
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-28
Registered in v-safe
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2020-12-28
Dose 1 — Moderna
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2020-12-28
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breath to the point I had to sit down during presentation. Sweating profusely. Recovered after about an hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Cardiac flutter — Feeling: Good · Fatigue or tirednessFree text: Heart flutter when working out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
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2021-01-18
Survey response — day 21, dose 1MedDRA: Blood pressure fluctuation — Feeling: GoodFree text: Blood Pressure went from normal 135/82 range to 177/122. Eventuality went back to normal. Only lasted 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — 3 months, dose 1MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: High Blood Pressure. My doctor contacted (b)(6). Taking Calcium Chanel blockers for 3 months and we will reevaluate. · Healthcare visit (other): Office VisitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
- 2021-06-28
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2021-12-28
Survey response — 12 months, dose 1MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Weakness and fatigue.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna |
Call center
3 call center cases
1 unsuccessful · 2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Slight dizziness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dry cough
Systemic reaction (other): Shortness of breath to the point I had to sit down during presentation. Sweating profusely. Recovered after about an hour.
Systemic reaction (other): Heart flutter when working out.
Release 2 — day 21, dose 1
Symptoms: Blood Pressure went from normal 135/82 range to 177/122. Eventuality went back to normal. Only lasted 2 days.
Release 6 — 3 months, dose 1
Symptoms: High Blood Pressure. My doctor contacted (b)(6). Taking Calcium Chanel blockers for 3 months and we will reevaluate.
Healthcare visit (other): Office Visit
redacted (b)(6)
Release 10 — 12 months, dose 1
Symptoms: Weakness and fatigue.
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 | Asthenia | · | · | ✓ |
| SD | Blood pressure fluctuation | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SRO | Cardiac flutter | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release