55S-26419-06640
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 441 / OH
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Anaphylaxis treatment, Cold sweat, Dyspnoea, Emergency care, Hypersensitivity, Immediate post-injection reaction, Skin tightness, Throat tightness — Feeling: Good · Site: PainFree text: On day one (yesterday), immediately following the vaccine I had a mild/moderate allergic reaction starting 5 minutes after the injection. My throat was tight, breathing became more laborious (felt like breathing in thick air), skin on the head became tight and hands were clammy. The reaction came in waves. It was not severe in that I didnt require an epipen. I was monitored by the ER for 6 hours after the injection. They gave me an antihistamine cocktail.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Heart rate abnormal, Heart rate increased, Irregular breathing, Respiration abnormal — Feeling: GoodFree text: Weird breathing and heart rate flux. I was driving and started to cough a bit and my breathing became erratic. My heart rate jumped to 140 bpm (according to Fitbit). This was a similar reaction that occured when I first received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-22
-
2021-01-27
Dose 2 — Moderna
-
2021-01-27
Survey response — day 0, dose 2MedDRA: Periorbital swelling, Throat tightness — Feeling: Fair · Site: Pain, Itching · HeadacheFree text: Mild throat tightness and eye puffiness. Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: General symptom — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Symptoms only lasted through the night. Woke up feeling good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-30
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On day one (yesterday), immediately following the vaccine I had a mild/moderate allergic reaction starting 5 minutes after the injection. My throat was tight, breathing became more laborious (felt like breathing in thick air), skin on the head became tight and hands were clammy. The reaction came in waves. It was not severe in that I didnt require an epipen. I was monitored by the ER for 6 hours after the injection. They gave me an antihistamine cocktail.
Systemic reaction (other): Weird breathing and heart rate flux. I was driving and started to cough a bit and my breathing became erratic. My heart rate jumped to 140 bpm (according to Fitbit). This was a similar reaction that occured when I first received the vaccine.
Release 2 — day 0, dose 2
Systemic reaction (other): Mild throat tightness and eye puffiness. Dry mouth
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Symptoms only lasted through the night. Woke up feeling good.
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 |
|---|---|---|---|---|
| SRO | Anaphylaxis treatment | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | General symptom | ✓ | ✓ | ✓ |
| SRO | Heart rate abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Irregular breathing | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
| SRO | Respiration abnormal | ✓ | ✓ | ✓ |
| SRO | Skin tightness | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release