4HX-15180-67732
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 51-55
- ZIP prefix
- 597 / MT
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-17
- 2021-01-18
- 2021-01-22
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Asthenia, Dizziness, Fatigue, Lethargy — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Light headed, dizzy, tired, lethargic, loss of energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: General malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: General malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I took ibuprofen and now feel better · Healthcare visit (other): Consulted with physician who recommended ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Malaise — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Weird, intermittent episodes of malaise then rerurning to baselime (I am a physician and these symptoms are REAL)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 35, dose 2MedDRA: Headache, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache for 5 days. Unusual since I don't normally have headaches. The headache is similar to the headache I experienced after my second dose of the Moderna Covid vaccination. Headache seems to respond to ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
- 2021-08-02
-
2021-08-02
Callback requested for05:30PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Light headed, dizzy, tired, lethargic, loss of energy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): General malaise
Systemic reaction (other): General malaise
Systemic reaction (other): I took ibuprofen and now feel better
Healthcare visit (other): Consulted with physician who recommended ibuprofen
Release 4 — day 7, dose 2
Systemic reaction (other): Weird, intermittent episodes of malaise then rerurning to baselime (I am a physician and these symptoms are REAL)
Release 5 — day 35, dose 2
Symptoms: Headache for 5 days. Unusual since I don't normally have headaches. The headache is similar to the headache I experienced after my second dose of the Moderna Covid vaccination. Headache seems to respond to ibuprofen.
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release