4UV-57954-46783
5 vaccinations
9 coded responses
39 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 530 / WI
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-09
- 2021-01-10
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-03
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: I had a mild sore throat that resolved after several hours without treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 35, dose 2MedDRA: Fatigue, Malaise, Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: General malaise, fatigue, mild sore throat, stuffy nose, mild muscle aches, no fever or other symptoms. Lasted approx. 24 hours and resolved without treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain, Respiratory symptom — Feeling: Good · Be unable to workFree text: I had upper respiratory symptoms, including a sore throat, for a couple of days, most likely due to known allergies. I did not have a fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-08-04
-
2021-11-16
Dose 3 — Moderna
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Fatigue, Hypothyroidism — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been experiencing fatigue and was found to significantly reduced thyroid activity.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
-
2022-04-07
Dose 4 — Moderna
- 2022-05-19
-
2022-05-19
Survey response — 6 months, dose 3MedDRA: Arrhythmia, Hypothyroidism, Laboratory test abnormal, Oropharyngeal pain, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had test results a few months ago indicate hypothyroidism, but a TSH test a couple of weeks ago was normal. Intermittent arrhythmia under investigation. I have a mild sore throat x4 days, probably from sinusitis. I haven't done a COVID test.MedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-20
- 2022-07-10
-
2022-09-20
Dose 5 — ModernaCo-administered: Flu
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
-
2022-09-27
Survey response — day 7, dose 5MedDRA: Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair · Fatigue or tirednessFree text: Sore throat, nasal congestion, sinus pressureMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Survey response — day 14, dose 5MedDRA: Malaise, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, nasal congestion, general malaise for several days. Probably a cold and/or a sinus infection. Symptoms have now resolved.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-18
- 2022-10-25
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2022-11-01
Survey response — day 42, dose 5MedDRA: Abdominal pain, Faeces soft — Feeling: FairFree text: Mild abdominal cramping and soft stools.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-20 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 28, dose 2
Symptoms: I had a mild sore throat that resolved after several hours without treatment.
Release 5 — day 35, dose 2
Symptoms: General malaise, fatigue, mild sore throat, stuffy nose, mild muscle aches, no fever or other symptoms. Lasted approx. 24 hours and resolved without treatment.
Release 5 — day 42, dose 2
Symptoms: I had upper respiratory symptoms, including a sore throat, for a couple of days, most likely due to known allergies. I did not have a fever.
Release 11 — 12 months, dose 2
Symptoms: I have been experiencing fatigue and was found to significantly reduced thyroid activity.
Release 11 — 6 months, dose 3
Symptoms: I had test results a few months ago indicate hypothyroidism, but a TSH test a couple of weeks ago was normal. Intermittent arrhythmia under investigation. I have a mild sore throat x4 days, probably from sinusitis. I haven't done a COVID test.
Release 12 — day 7, dose 5
Systemic reaction (other): Sore throat, nasal congestion, sinus pressure
Release 12 — day 14, dose 5
Symptoms: Sore throat, nasal congestion, general malaise for several days. Probably a cold and/or a sinus infection. Symptoms have now resolved.
Release 12 — day 42, dose 5
Symptoms: Mild abdominal cramping and soft stools.
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 | Abdominal pain | · | · | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Glaucoma | · | · | ✓ |
| SD | Hypothyroidism | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release