4SQ-33344-24610
5 vaccinations
11 coded responses
60 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 488 / MI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-31
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2021-04-06
Dose 2 — Moderna
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2021-04-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: The side effects are come and go except for the body/backacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body achesFree text: I work at the (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Nephrolithiasis, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Kidney stones and a uti. Probably not vaccine related?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
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2021-05-18
Survey response — day 42, dose 2MedDRA: Nephrolithiasis, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Still dealing with a kidney stone. I have had kidney stones before I was vaccinated, I am not saying that the vaccine cause these stones, just that I am passing them since a week after my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
- 2021-10-05
-
2021-10-26
Dose 3 — Moderna
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Nephrolithiasis — Feeling: FairFree text: Started passing a kidney stone on 10/28/2021MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
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2021-11-02
Survey response — day 7, dose 3MedDRA: Nephrolithiasis — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal painFree text: Still passing a kidney stone, so I have those types if symptoms on the left sideMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Dyspnoea, Headache, Hyposmia, Impaired work ability, Nasal congestion, Office visit, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion Semi loss of smell Runny/stuffy nose Shortness of breath Head ache Body aches Home test and Urgent care test on Sunday(11-28) both negative for covid. Another test the Monday(11-29) for return to work on Tues(11-30). Feeling better.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2022-01-25
-
2022-04-04
Dose 4 — Moderna
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2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion, Rhinorrhoea, Tinnitus — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Tinnitus in right ear, stuffy/runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
- 2022-04-08
- 2022-04-10
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2022-04-11
Survey response — day 7, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body achesFree text: Old knee injury flared up out of the blue last nightMedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
- 2022-04-19
- 2022-04-25
- 2022-05-02
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2022-05-09
Survey response — day 35, dose 4MedDRA: Occupational exposure to SARS-CoV-2, Office visit, Pre-existing disease, SARS-CoV-2 test negative, Self-medication, Sinus disorder — Feeling: Fair · Be unable to work or attend schoolFree text: Seaonal allergies. Sinus. Off work from covid exposure. Tested negative @130pm today thru work testing. Not returning to work until tomorrow. Home testing tonight. Benadryl for allergy symptoms. Feel great other than my nose!MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-07-04
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2022-09-02
Dose 5 — Moderna
- 2022-09-02
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2022-09-04
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Pain — Feeling: Good · Fatigue or tirednessFree text: Sorry I didn't check-in yesterday. I had soreness and tiredness yesterday. TODAY (9/4) I an fine!! Thank you for all you do!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-09-05
- 2022-09-06
- 2022-09-07
- 2022-09-08
- 2022-09-09
- 2022-09-16
- 2022-09-23
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-12-02
- 2023-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The side effects are come and go except for the body/backache
Release 8 — day 28, dose 2
Symptoms: Kidney stones and a uti. Probably not vaccine related?
Release 8 — day 42, dose 2
Symptoms: Still dealing with a kidney stone. I have had kidney stones before I was vaccinated, I am not saying that the vaccine cause these stones, just that I am passing them since a week after my second shot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Started passing a kidney stone on 10/28/2021
Release 10 — day 7, dose 3
Systemic reaction (other): Still passing a kidney stone, so I have those types if symptoms on the left side
Release 10 — day 35, dose 3
Symptoms: Congestion Semi loss of smell Runny/stuffy nose Shortness of breath Head ache Body aches Home test and Urgent care test on Sunday(11-28) both negative for covid. Another test the Monday(11-29) for return to work on Tues(11-30). Feeling better.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tinnitus in right ear, stuffy/runny nose
Release 11 — day 7, dose 4
Systemic reaction (other): Old knee injury flared up out of the blue last night
Release 11 — day 35, dose 4
Symptoms: Seaonal allergies. Sinus. Off work from covid exposure. Tested negative @130pm today thru work testing. Not returning to work until tomorrow. Home testing tonight. Benadryl for allergy symptoms. Feel great other than my nose!
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sorry I didn't check-in yesterday. I had soreness and tiredness yesterday. TODAY (9/4) I an fine!! Thank you for all you do!!!
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 | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Occupational exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nephrolithiasis | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release