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4FT-22870-62507

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
196 / PA
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-27
    Dose 1 — Moderna
  2. 2021-04-28
    Registered in v-safe
  3. 2021-04-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Ringing in the ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ringing in the ears- off and on. Just like the other symptoms, they come and go in waves. It hits and i feel completely exhausted and achey all over. 10 - 15 minutes it goes away and comes back within 30 - 45 minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Abdominal pain was like cramping, very intense. Omly ate a banana rhis morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-05-04
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-05-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-18
    Survey response — day 21, dose 1
    MedDRA: Ear pain, Pain in jaw, Sinusitis — Feeling: Good
    Free text: I have a sinus infection that is causing pain in my left ear down around my jaw bone to my gland
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-25
    Dose 2 — Moderna
  13. 2021-05-25
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Adult check-in
  15. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Nausea
    Adult check-in
  16. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-01
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-06-08
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Back pain, Headache, Musculoskeletal stiffness, Nausea, Pain in extremity — Feeling: Good · Be unable to work
    Free text: At 7 days after my 2nd shot, i experienced leg, back, and neck stiffness and sorenwss. Weakness in my entire body. Nausea, headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-24
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-11-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-27Moderna
22021-05-25Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Ringing in the ears

2021-04-29

Systemic reaction (other): Ringing in the ears- off and on. Just like the other symptoms, they come and go in waves. It hits and i feel completely exhausted and achey all over. 10 - 15 minutes it goes away and comes back within 30 - 45 minutes

2021-04-30

Systemic reaction (other): Abdominal pain was like cramping, very intense. Omly ate a banana rhis morning.

Release 8 — day 21, dose 1

2021-05-18

Symptoms: I have a sinus infection that is causing pain in my left ear down around my jaw bone to my gland

Release 8 — day 14, dose 2

2021-06-08

Symptoms: At 7 days after my 2nd shot, i experienced leg, back, and neck stiffness and sorenwss. Weakness in my entire body. Nausea, headache.

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
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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