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4UL-34412-76714

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
373 / TN
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-14
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Influenza like illness — Feeling: Good · Site: Pain
    Free text: The second day. I felt bad all day. Like I was catching the flu.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-14
    Dose 2 — Moderna
  11. 2021-03-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  14. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tooth infection — Feeling: Good
    Free text: I had an abscess tooth to develop a couple of days before my 2nd Moderna shot. Probably just a coincidence but I had the procedure to address it today and the endnologist cited that I had green puss inside my tooth. That seemed odd to her.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-04
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: My wife and I both have had the 2nd Moderna shot and have started to notice that we fatigue easier than before we had covid-19. We are not saying its the vaccine as much as the after effects of the disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-03-14
    Survey response — 12 months, dose 2
    MedDRA: Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities
    Free text: Irregular heartbeat
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Moderna
22021-03-14Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): The second day. I felt bad all day. Like I was catching the flu.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): I had an abscess tooth to develop a couple of days before my 2nd Moderna shot. Probably just a coincidence but I had the procedure to address it today and the endnologist cited that I had green puss inside my tooth. That seemed odd to her.

Release 6 — day 21, dose 2

2021-04-04

Symptoms: My wife and I both have had the 2nd Moderna shot and have started to notice that we fatigue easier than before we had covid-19. We are not saying its the vaccine as much as the after effects of the disease.

Release 11 — 12 months, dose 2

2022-03-14

Symptoms: Irregular heartbeat

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDHeart rate irregular · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROTooth infection ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release