4SZ-32943-61839
3 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 927 / CA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
-
2021-01-12
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-15
- 2021-01-16
- 2021-01-18
-
2021-01-19
Survey response — day 7, dose 1MedDRA: Anxiety, Impaired driving ability, Rhinorrhoea, Sneezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Major anxiety attack at night -severe! STAYED HOME, but worked from home today. Got lost drying home and uneasy driving. Sneezing and runny nose last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-02-02
Survey response — day 21, dose 1MedDRA: Chills, Eye pruritus, Fatigue, Nausea, Sneezing — Feeling: Poor · Be unable to workFree text: Chills no fever! Sore neck. Sneezing and itchy eyes. Slight nausea TiredTaking the day off tomorrow ConcernedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Survey response — day 0, dose 2MedDRA: Hypersensitivity, Sinusitis — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Allergies. SinusitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Loss of personal independence in daily activities — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Had to stay home from work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-16
Health check-in — day 7, dose 2Feeling: Poor · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 42, dose 2MedDRA: Fatigue, Headache, Insomnia — Feeling: FairFree text: Stress headaches. Fatigue from not sleeping at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
-
2021-08-28
Dose 3 — Moderna
-
2022-02-09
Survey response — 12 months, dose 2MedDRA: Glucose tolerance impaired, High frequency ablation, Neuropathy peripheral, Sinusitis, Thyroid neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Neuropathy in right arm, thyroid tumor, pre-diabetes, sinus infections · Healthcare visit (other): Thyroid radio ablationMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-11
- 2022-02-16
- 2022-02-26
-
2022-08-28
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid on 8/26/22MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Major anxiety attack at night -severe! STAYED HOME, but worked from home today. Got lost drying home and uneasy driving. Sneezing and runny nose last night
Release 3 — day 21, dose 1
Symptoms: Chills no fever! Sore neck. Sneezing and itchy eyes. Slight nausea TiredTaking the day off tomorrow Concerned
Release 3 — day 0, dose 2
Systemic reaction (other): Allergies. Sinusitis
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had to stay home from work.
Release 6 — day 42, dose 2
Symptoms: Stress headaches. Fatigue from not sleeping at night
Release 11 — 12 months, dose 2
Symptoms: Neuropathy in right arm, thyroid tumor, pre-diabetes, sinus infections
Healthcare visit (other): Thyroid radio ablation
Release 12 — 12 months, dose 3
Symptoms: Covid on 8/26/22
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 | High frequency ablation | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Glucose tolerance impaired | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Thyroid neoplasm | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Impaired driving ability | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release