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55C-25873-08466

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
532 / WI
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-12
    Dose 1 — Moderna
  2. 2021-05-10
    Dose 2 — Moderna
  3. 2021-05-14
    Registered in v-safe
  4. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-05-17
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-14
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain upper, Anosmia, Pain in extremity — Feeling: Fair
    Free text: Stomachache and change of smell, but not a change in how coffee or food smells, just something that I didnt smell before. Minor arm pain in forearm, as if from overwork but no cause
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-22
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Sensory disturbance, Sleep paralysis — Feeling: Fair
    Free text: Internal vibrations, fatigue, sleep paralysis phenomena
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-08-13
    Survey response — 3 months, dose 2
    MedDRA: Emotional disorder, Muscle spasms, Tic — Feeling: Fair
    Free text: Muscle spasms/ticks. Changes in expression
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Dysuria, Fatigue, Illusion, Muscle spasms, Neuralgia, Tremor, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Muscle spasms/tremors of levator labii superioris alaeque nasi and occipitofrontalis. Trouble focusing eyes. Difficulty urinating. Nerve pain throughout body. Change in perception. Unexpected fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-11
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2021-11-14

Vaccinations

DoseDateManufacturerCo-administered
12021-04-12Moderna
22021-05-10Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Stomachache and change of smell, but not a change in how coffee or food smells, just something that I didnt smell before. Minor arm pain in forearm, as if from overwork but no cause

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Internal vibrations, fatigue, sleep paralysis phenomena

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Muscle spasms/ticks. Changes in expression

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Muscle spasms/tremors of levator labii superioris alaeque nasi and occipitofrontalis. Trouble focusing eyes. Difficulty urinating. Nerve pain throughout body. Change in perception. Unexpected fatigue.

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
SDAbdominal pain upper ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDDysuria · · ✓
SDEmotional disorder ✓ · ✓
SDFatigue ✓ ✓ ✓
SDIllusion · · ✓
SDMuscle spasms ✓ · ✓
SDNeuralgia · · ✓
SDPain in extremity ✓ ✓ ✓
SDSensory disturbance ✓ ✓ ✓
SDSleep paralysis ✓ ✓ ✓
SDTic ✓ · ✓
SDTremor · · ✓
SDVision blurred · · ✓

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