4HK-22677-15333
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 809 / CO
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 1MedDRA: Bone pain, Chills, Fatigue, Feeling cold, Impaired work ability, Paraesthesia — Feeling: Good · Be unable to workFree text: Day 10, physical activity (snow shovelling) caused achy bones on injection side that evening and felt very cold and tired. Next day (day 11) felt tired all day again, night shivers and tingling skin, missed work. Day 12, I was back to 100%.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
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2021-04-01
Health check-in — day 0, dose 2Feeling: Good · Chills, Headache, Muscle or body achesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen node on face. Reducing day by day, no concern. Below eye socket and parallel to tip of nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 21, dose 2MedDRA: Chills, Dizziness, Gait inability, Malaise — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Uncontrollable shivers today. Used heated blanket to warm up. Zero energy. Dizzy, can barely walk from bed to bathroom. Unknown origin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-11-02
Dose 3 — Moderna
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Discharge, Mass, Neoplasm swelling — Feeling: GoodFree text: Swollen cyst like growth behind ear. Did ooze a clear like substance. Happened about a month after both my second dose (lump on face), and booster(behind earlobe) Unrelated Prednisone Rx has reduced the size 50%. Still present but non impacting.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: Day 10, physical activity (snow shovelling) caused achy bones on injection side that evening and felt very cold and tired. Next day (day 11) felt tired all day again, night shivers and tingling skin, missed work. Day 12, I was back to 100%.
Release 7 — day 14, dose 2
Symptoms: Swollen node on face. Reducing day by day, no concern. Below eye socket and parallel to tip of nose.
Release 7 — day 21, dose 2
Symptoms: Uncontrollable shivers today. Used heated blanket to warm up. Zero energy. Dizzy, can barely walk from bed to bathroom. Unknown origin.
Release 11 — 3 months, dose 3
Symptoms: Swollen cyst like growth behind ear. Did ooze a clear like substance. Happened about a month after both my second dose (lump on face), and booster(behind earlobe) Unrelated Prednisone Rx has reduced the size 50%. Still present but non impacting. cut off by CDC
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 | Bone pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Gait inability | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Neoplasm swelling | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release