4SZ-30305-88835
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Gastroenteritis viral, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: To be fair, members of my family who have not received the vaccine have felt the same way. There is a stomach bug going around our house and I believe I came down with it today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-23
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-22
- 2021-03-25
- 2021-04-04
- 2021-04-10
- 2021-04-15
- 2021-04-22
- 2021-05-01
- 2021-06-19
- 2021-09-16
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-11-04
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: I tested Positive for COVID-19 via a rapid home test today.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — day 7, dose 3MedDRA: COVID-19, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Positive for COVID-19 as of 11/7/21. I have congestion and a runny nose as well.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — day 14, dose 3MedDRA: Diarrhoea, Sinus headache — Feeling: Fair · Be unable to work or attend schoolFree text: Yesterday I had a horrible sinus headache and today I had diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
-
2021-12-09
Survey response — day 35, dose 3MedDRA: Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: I have a stuffy nose and sore throat with some muscle aches today.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
-
2023-03-09
Dose 4 — Moderna
-
2023-03-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · 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
-
2023-03-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2023-03-09 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): To be fair, members of my family who have not received the vaccine have felt the same way. There is a stomach bug going around our house and I believe I came down with it today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I tested Positive for COVID-19 via a rapid home test today.
Release 10 — day 7, dose 3
Systemic reaction (other): Positive for COVID-19 as of 11/7/21. I have congestion and a runny nose as well.
Release 10 — day 14, dose 3
Symptoms: Yesterday I had a horrible sinus headache and today I had diarrhea.
Release 10 — day 35, dose 3
Symptoms: I have a stuffy nose and sore throat with some muscle aches today.
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 | Diarrhoea | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Gastroenteritis viral | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release