4T7-70755-54994
4 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 507 / IA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Last night i had about a minute headache at the front left side of my brain that stopped me in my tracks. Then it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain, Neck pain — Feeling: Good · Muscle or body achesFree text: Its not from the vaccine though. I slipped on some ice yesterday and did the home alone so this is how i die move and hurt my back and neck amd wristMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-06
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
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2021-02-25
Survey response — day 0, dose 2MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Hyperhidrosis — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little sweaty and heartburn like last time. May mess w bad acid reflux a wee bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Irritable bowel syndrome, Pain, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: Diarrhea...messed w my ibs a bit. Also skull pain came on in the back of my lower left skull last night off and on for 2 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: In my knuckle of my left hands middle finger where i once sliced it open and had 2 surgeries on it is quite swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Fall, Immediate post-injection reaction, Muscle tightness, Musculoskeletal stiffness, Office visit — Feeling: Good · Muscle or body achesFree text: A weird muscle in my upper back i never felt before and it makes my neck stiff. I fell on the ice just after the 1st dose and had to go to the chiropractor and this feels similar to that but who knows if dose 2 relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Office visit, Unevaluable event — Feeling: Good · Muscle or body achesFree text: I went to the chiropractor and got that muscle worked on and my neck adjusted and feel much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-08
- 2021-05-28
- 2021-08-26
-
2021-09-25
Dose 3 — Moderna
- 2022-02-27
-
2022-04-18
Dose 4 — Moderna
- 2022-04-27
- 2022-07-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Last night i had about a minute headache at the front left side of my brain that stopped me in my tracks. Then it went away
Systemic reaction (other): Its not from the vaccine though. I slipped on some ice yesterday and did the home alone so this is how i die move and hurt my back and neck amd wrist
Release 4 — day 0, dose 2
Systemic reaction (other): A little sweaty and heartburn like last time. May mess w bad acid reflux a wee bit
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Diarrhea...messed w my ibs a bit. Also skull pain came on in the back of my lower left skull last night off and on for 2 hrs
Systemic reaction (other): In my knuckle of my left hands middle finger where i once sliced it open and had 2 surgeries on it is quite swollen
Systemic reaction (other): A weird muscle in my upper back i never felt before and it makes my neck stiff. I fell on the ice just after the 1st dose and had to go to the chiropractor and this feels similar to that but who knows if dose 2 related
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I went to the chiropractor and got that muscle worked on and my neck adjusted and feel much better
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Fall | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ○ | ✓ | ○ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release