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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

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-11
    Dose 2 — Moderna
  11. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Myalgia, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  12. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Survey response — day 28, dose 2
    MedDRA: Vertigo — Feeling: Good
    Free 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
  14. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  19. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-02-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-26

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

2021-03-12

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

2022-02-11

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ○
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SDVertigo ✓ ✓ ✓

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