56G-26435-13582
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 973 / OR
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Fatigue, Myalgia, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day after 2nd Nader a vax had low grade fever, fatigue and generalized myalgias. Just lasted that one day. Back to normal the following day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-12
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: GoodFree text: My first ever episode of benign positional Vertigo. Began about 10 days ago. I doubt it has anything to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-05-14
- 2021-08-12
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Instead of poly myalgia rheumatics about 2 months ago. Have been on prednisone since mid December. My Covid-19 booster was a month or 2 prior.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 2
Symptoms: Day after 2nd Nader a vax had low grade fever, fatigue and generalized myalgias. Just lasted that one day. Back to normal the following day.
Release 5 — day 28, dose 2
Symptoms: My first ever episode of benign positional Vertigo. Began about 10 days ago. I doubt it has anything to do with the vaccine.
Release 11 — 12 months, dose 2
Symptoms: Instead of poly myalgia rheumatics about 2 months ago. Have been on prednisone since mid December. My Covid-19 booster was a month or 2 prior.
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 | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ○ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release