532-57097-08737
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 812 / CO
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-14
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Running nose (not necessarily tied to Vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Self-medication — Feeling: Good · Fatigue or tirednessFree text: We took Tylenol and rested when we got home and the post-vaccination fatigue subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Fever · Fatigue or tirednessFree text: Heart rate is over 100 - normally 60MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-08
-
2021-11-10
Survey response — day 7, dose 3MedDRA: Arrhythmia — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Experiencing cardiac arrhythmia, not necessarily due to Moderna boosterMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-10
-
2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-05-03
Survey response — 6 months, dose 3MedDRA: Headache, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Not sure if it is connected, but I have been sneezing and ha e a runny nose since right after my booster (Moderna (b)(6)) on 11/2/21. No fever or other symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Dose 4 — ModernaCo-administered: Flu
- 2022-10-24
-
2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Oxygen saturation decreased — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: Checked O2 - 96% (using concentrator), took long nap- feel better nowMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2023-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-10-24 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Running nose (not necessarily tied to Vaccine)
Systemic reaction (other): We took Tylenol and rested when we got home and the post-vaccination fatigue subsided
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heart rate is over 100 - normally 60
Release 10 — day 7, dose 3
Systemic reaction (other): Experiencing cardiac arrhythmia, not necessarily due to Moderna booster
Release 11 — 6 months, dose 3
Symptoms: Not sure if it is connected, but I have been sneezing and ha e a runny nose since right after my booster (Moderna (b)(6)) on 11/2/21. No fever or other symptoms.
redacted (b)(6)
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Checked O2 - 96% (using concentrator), took long nap- feel better now
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 | Headache | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Arrhythmia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Oxygen saturation decreased | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release