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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

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Slight dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Dry cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  7. 2020-12-30
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cardiac flutter — Feeling: Good · Fatigue or tiredness
    Free text: Heart flutter when working out.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  13. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-18
    Survey response — day 21, dose 1
    MedDRA: Blood pressure fluctuation — Feeling: Good
    Free 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
  15. 2021-03-29
    Survey response — 3 months, dose 1
    MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 Visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-29
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-05-26
  18. 2021-06-28
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  19. 2021-12-28
    Survey response — 12 months, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Weakness and fatigue.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): Slight dizziness

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Dry cough

2020-12-30

Systemic reaction (other): Shortness of breath to the point I had to sit down during presentation. Sweating profusely. Recovered after about an hour.

2021-01-01

Systemic reaction (other): Heart flutter when working out.

Release 2 — day 21, dose 1

2021-01-18

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

2021-03-29

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

2021-12-28

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAsthenia · · ✓
SDBlood pressure fluctuation ✓ ✓ ✓
SDFatigue · · ✓
SDHypertension ✓ ✓ ✓
SROCardiac flutter ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

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