4RA-26264-62976
4 vaccinations
10 coded responses
51 check-ins
10 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 271 / NC
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-14
Survey response — day 14, dose 1MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair · Be unable to workFree text: Ms flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 2MedDRA: Blood pressure increased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Blood pressure has been high after the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
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2021-03-26
Survey response — day 28, dose 2MedDRA: Abdominal discomfort, Hypertension, Tinnitus — Feeling: Poor · Be unable to workFree text: High blood pressure, ringing in ears& stomach irritationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 35, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: I still have ringing in my ears after the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
-
2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fever · ChillsAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-20
- 2021-11-25
- 2021-12-02
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2021-12-09
Survey response — day 42, dose 3MedDRA: Arthritis, Multiple sclerosis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ms flare up, arthritis in my right shoulderMedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Survey response — 3 months, dose 3MedDRA: Office visit, Physiotherapy, Rotator cuff syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tendinitis in my right shoulder! Doing physical therapy · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-03-30
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2022-04-28
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shoulder arthritis and tears in my labrum muscleMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-04
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2022-06-06
Dose 4 — Moderna
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2022-06-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-20
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2022-06-27
Survey response — day 21, dose 4MedDRA: Arthralgia, Cholelithiasis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shoulder problems going to need surgery also gallbladder full of sludge going to have surgery to take it outMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-06-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-04
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2022-07-11
Survey response — day 35, dose 4MedDRA: Gallbladder operation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gallbladder surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-07-11
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-12
- 2022-07-12
- 2022-07-12
- 2022-07-12
- 2022-07-18
- 2022-09-05
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-06-06 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Ms flare up
Release 5 — day 14, dose 2
Symptoms: Blood pressure has been high after the vaccination
Release 6 — day 28, dose 2
Symptoms: High blood pressure, ringing in ears& stomach irritation
Release 6 — day 35, dose 2
Symptoms: Ringing in ears
Release 8 — 3 months, dose 2
Symptoms: I still have ringing in my ears after the vaccination
Release 10 — day 42, dose 3
Symptoms: Ms flare up, arthritis in my right shoulder
Release 11 — 3 months, dose 3
Symptoms: Tendinitis in my right shoulder! Doing physical therapy
Healthcare visit (other): Doctor visit
Release 11 — 6 months, dose 3
Symptoms: Shoulder arthritis and tears in my labrum muscle
Release 12 — day 21, dose 4
Symptoms: Shoulder problems going to need surgery also gallbladder full of sludge going to have surgery to take it out
Release 12 — day 35, dose 4
Symptoms: Gallbladder surgery
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Gallbladder operation | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release