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
-
2021-02-14
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Influenza like illness — Feeling: Good · Site: PainFree 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
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-14
Dose 2 — Moderna
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Tooth infection — Feeling: GoodFree 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
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
-
2021-04-04
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: GoodFree 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
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2022-03-14
Survey response — 12 months, dose 2MedDRA: Heart rate irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Irregular heartbeatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Tooth infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release