4TC-30336-57044
5 vaccinations
12 coded responses
66 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
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2021-04-09
Registered in v-safe
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
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2021-04-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: Noticed 4/17 light pink around injection site and noticeable swelling, seems gone by 4/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
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2021-05-05
Dose 2 — Moderna
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2021-05-05
Survey response — day 0, dose 2MedDRA: Pyrexia — Feeling: FairFree text: mild fever past few days before 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Muscle or body achesAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
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2021-05-19
Survey response — day 14, dose 2MedDRA: Balance disorder, Cognitive disorder, Somnolence — Feeling: FairFree text: Mild cognitive and balance impairment (like drowsiness or tipsy) like the first shot, symptoms started around 10 days later, almost gone after 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
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2021-06-09
Survey response — day 35, dose 2MedDRA: Oropharyngeal discomfort, Pre-existing disease — Feeling: GoodFree text: Warm throat but was on day I went for masked bike ride right after taking allergy meds.Btw your later question flow seems flawed, more useful to ask since last check-in if there was a covid test at all, then if yes was it positive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
- 2021-08-04
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2021-11-03
Survey response — 6 months, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mild intermittent vertigo for a few days 8/31 and PCR neg that day, symptoms mostly gone after few days, but triggered by specific rapid movements, seem basically gone by 10/31.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Dose 3 — Moderna
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-25
- 2022-02-11
- 2022-05-13
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2022-05-18
Dose 4 — Moderna
- 2022-05-18
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2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-06-01
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2022-06-08
Survey response — day 21, dose 4MedDRA: Dehydration, Headache — Feeling: GoodFree text: 6/7 start of 12hr+ headache but was probably just not hydrated enough for hot day.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
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2022-06-22
Survey response — day 35, dose 4MedDRA: Cough — Feeling: FairFree text: Cough likely from running out of allergy spray a few days until refill.MedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Survey response — day 42, dose 4MedDRA: COVID-19, Cough, Pyrexia, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: COVID scratchy throat with cough and fever starting 2022-06-20 and symptoms mostly reduced but continuing today 2022-06-29.MedDRA releases: 2024-11 · check-in free text available
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2022-08-17
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough — Feeling: GoodFree text: Cough after getting COVIDMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Dose 5 — ModernaCo-administered: Flu:Monkeypox
- 2022-09-30
- 2022-10-01
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2022-10-02
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: GoodFree text: mpox vax starting to itch just like first shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
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2022-10-14
Survey response — day 14, dose 5MedDRA: Eye pain, Headache, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Just after last check-in started mild headache eyeache for 3 days. Previously had symptoms start the end of that time day 10 as mental fog, but did not get that this time.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
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2023-03-31
Survey response — 6 months, dose 5MedDRA: Office visit, Penile contusion, Penile swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-31
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu:Monkeypox |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 14, dose 1
Symptoms: Noticed 4/17 light pink around injection site and noticeable swelling, seems gone by 4/21.
Release 8 — day 0, dose 2
Systemic reaction (other): mild fever past few days before 2nd shot.
Release 8 — day 14, dose 2
Symptoms: Mild cognitive and balance impairment (like drowsiness or tipsy) like the first shot, symptoms started around 10 days later, almost gone after 4 days.
Release 9 — day 35, dose 2
Symptoms: Warm throat but was on day I went for masked bike ride right after taking allergy meds.Btw your later question flow seems flawed, more useful to ask since last check-in if there was a covid test at all, then if yes was it positive.
Release 10 — 6 months, dose 2
Symptoms: Mild intermittent vertigo for a few days 8/31 and PCR neg that day, symptoms mostly gone after few days, but triggered by specific rapid movements, seem basically gone by 10/31.
Release 11 — day 21, dose 4
Symptoms: 6/7 start of 12hr+ headache but was probably just not hydrated enough for hot day.
Release 12 — day 35, dose 4
Symptoms: Cough likely from running out of allergy spray a few days until refill.
Release 12 — day 42, dose 4
Symptoms: COVID scratchy throat with cough and fever starting 2022-06-20 and symptoms mostly reduced but continuing today 2022-06-29.
Release 12 — 3 months, dose 4
Symptoms: Cough after getting COVID
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): mpox vax starting to itch just like first shot.
Release 12 — day 14, dose 5
Symptoms: Just after last check-in started mild headache eyeache for 3 days. Previously had symptoms start the end of that time day 10 as mental fog, but did not get that this time.
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Penile contusion | · | · | ✓ |
| SD | Penile swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release