4GM-75761-16998
3 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 234 / VA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-03-20
Registered in v-safe
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Visual auras started back up after years todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Sleep disorder — Feeling: Fair · HeadacheFree text: I have had serious sleep issues for years but they have worsened a little since getting the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I normally have fatigue but I've barely slept since getting the vaccine, which is making it worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · None · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
- 2021-10-15
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2022-01-05
Dose 3 — Moderna
- 2022-01-05
-
2022-01-06
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Fatigue or tirednessFree text: The shot likely triggered a flare up of my Fibromyalgia.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-02-16
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2022-04-06
Survey response — 3 months, dose 3MedDRA: Influenza like illness, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Minor flu-like symptoms, fever, aches & pains, etc. I got tested to be safe and I was negative for COVID.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2022-01-05 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Visual auras started back up after years today
Systemic reaction (other): I have had serious sleep issues for years but they have worsened a little since getting the vaccine.
Systemic reaction (other): I normally have fatigue but I've barely slept since getting the vaccine, which is making it worse.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The shot likely triggered a flare up of my Fibromyalgia.
Release 11 — 3 months, dose 3
Symptoms: Minor flu-like symptoms, fever, aches & pains, etc. I got tested to be safe and I was negative for COVID.
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 | Influenza like illness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release