4C9-11330-79524
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 212 / MD
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-13
- 2021-01-18
- 2021-01-25
-
2021-01-29
Dose 2 — Moderna
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 35, dose 2MedDRA: Headache, Pre-existing disease — Feeling: FairFree text: I am out of remission from my cluster headache condition and am experiencing many more headaches than prior to the vaccine (for well over a year).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Cluster headache — Feeling: FairFree text: Headaches have continued to worsen. Prior to last vaccine my cluster headaches were well controlled with preventative meds. Now requiring abortive meds almost daily. I was in excellent health before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-07-30
-
2021-10-31
Dose 3 — Moderna
- 2022-01-29
-
2022-04-02
Dose 4 — Moderna
- 2022-04-26
- 2022-04-30
- 2022-05-07
- 2022-05-14
-
2022-07-02
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Contracted COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — 6 months, dose 4MedDRA: Aphasia, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Generalized fatigue. Intermittent word finding.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Free text
Release 4 — day 14, dose 2
Symptoms: Headaches
Release 5 — day 35, dose 2
Symptoms: I am out of remission from my cluster headache condition and am experiencing many more headaches than prior to the vaccine (for well over a year).
Release 5 — day 42, dose 2
Symptoms: Headaches have continued to worsen. Prior to last vaccine my cluster headaches were well controlled with preventative meds. Now requiring abortive meds almost daily. I was in excellent health before.
Release 12 — 3 months, dose 4
Symptoms: Contracted COVID-19
Release 12 — 6 months, dose 4
Symptoms: Generalized fatigue. Intermittent word finding.
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 | Aphasia | · | · | ✓ |
| SD | Cluster headache | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release