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4HX-30194-75682

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 3 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
554 / MN
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: No I feel normal except my arm is still sore. But better than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Dose 2 — Moderna
  13. 2021-04-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Emergency care, Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: I woke up very symptomatic at 230am and fainted. At the ER today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fall, Myalgia, Syncope — Feeling: Poor · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: I have extraordinary muscle aches from my fall from when I fainted the night before last.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injury, Pain, Syncope — Feeling: Poor · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: Body aches from my fall. I wonder if anyone is even looking at these. Moderna shot 2 made me faint and Im lucky I didnt get seriously hurt...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  19. 2021-04-19
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fall, Office visit, Pain, Syncope — Feeling: Poor · Muscle or body aches · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Aches from my fall from fainting. · Healthcare visit (other): Massage therapist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-20
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  23. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Poor
    Adult check-in
  24. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-15

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): No I feel normal except my arm is still sore. But better than yesterday.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): I woke up very symptomatic at 230am and fainted. At the ER today.

2021-04-16

Systemic reaction (other): I have extraordinary muscle aches from my fall from when I fainted the night before last.

2021-04-17

Systemic reaction (other): Body aches from my fall. I wonder if anyone is even looking at these. Moderna shot 2 made me faint and Im lucky I didnt get seriously hurt...

2021-04-20

Systemic reaction (other): Aches from my fall from fainting.
Healthcare visit (other): Massage therapist

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
HCVOOffice visit ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFall ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjury ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSyncope ✓ ✓ ✓

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