49D-10954-68028
4 vaccinations
5 coded responses
41 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 514 / IA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
-
2021-01-25
Survey response — day 28, dose 1MedDRA: Balance disorder, Vertigo positional — Feeling: FairFree text: I think I'm dealing with a mild case of BPPV (ear rocks). This affects my balance slightly so I'm just taking it easy. I can still do normal ADLs. (I'm scheduled for my 2nd vaccination in 3 days.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Dose 2 — Moderna
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain, Self-medication — Feeling: Good · Site: Pain · Fever · Be unable to do your normal daily activitiesFree text: I had fatigue the 2nd day after the 2nd injection along with residual injection sight pain. I took a Naprosyn that night & felt normal by the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Arthralgia, Limb discomfort, Pre-existing disease, Self-medication — Feeling: GoodFree text: Some knee joint pain, but probably from an old sports injury. I self treated & it's much better. Also some lateral ankle discomfort.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-20
Dose 4 — Moderna
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Night sweats, Pain in extremity — Feeling: GoodFree text: Arm ache from 2nd booster injection for 2 days. Night sweat the first night.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-10-19
Survey response — 6 months, dose 4MedDRA: Fatigue, Illness, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I got exhausted caring for my wife and picked up an illness thought to be some sort of infection. It felt like mononucleosis. I had 2 negative Covid tests & was treated with an antibiotic & recovered.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-20
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 28, dose 1
Symptoms: I think I'm dealing with a mild case of BPPV (ear rocks). This affects my balance slightly so I'm just taking it easy. I can still do normal ADLs. (I'm scheduled for my 2nd vaccination in 3 days.)
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had fatigue the 2nd day after the 2nd injection along with residual injection sight pain. I took a Naprosyn that night & felt normal by the next day.
Release 9 — 6 months, dose 2
Symptoms: Some knee joint pain, but probably from an old sports injury. I self treated & it's much better. Also some lateral ankle discomfort.
Release 11 — 6 months, dose 3
Symptoms: Arm ache from 2nd booster injection for 2 days. Night sweat the first night.
Release 12 — 6 months, dose 4
Symptoms: I got exhausted caring for my wife and picked up an illness thought to be some sort of infection. It felt like mononucleosis. I had 2 negative Covid tests & was treated with an antibiotic & recovered.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Limb discomfort | ✓ | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Vertigo positional | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release