56T-33489-32645
4 vaccinations
9 coded responses
39 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 235 / VA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain, Swelling · NauseaFree text: Last night, after my initial check-in, I felt nauseous and had to lay down and go to bed a little earlier than usual. I felt normal in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Flank pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Back pain (lower left flank)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-24
- 2021-04-29
- 2021-05-06
- 2021-05-15
- 2021-05-24
- 2021-05-27
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Dyspepsia, Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
-
2021-11-20
Dose 3 — Moderna
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Flank pain, Renal pain — Feeling: Fair · Site: Pain · Fever · Muscle or body achesFree text: Lower flank pain. Kidney area feels sore. Nothing keeping me from move around, but definitely uncomfortable.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-27
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2021-12-04
Survey response — day 14, dose 3MedDRA: Balance disorder, Gait disturbance, Nausea, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On 11/30/2021 I woke up and was extremely off balance, so much so that I had a difficult time walking. It would probably be best described as what vertigo sounds like. I have never had this happen before. It last half the day and caused nausea.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-19
-
2022-05-21
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: GoodFree text: Sore throat last week and ton of what seems indicative of intense seasonal allergies.MedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Dose 4 — Moderna
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2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-04
-
2022-10-06
Survey response — days 1–6 daily, dose 4MedDRA: Mental fatigue — Feeling: GoodFree text: Abnormally mentally exhausted todayMedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Health check-in — day 7, dose 4Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
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2022-10-14
Survey response — day 14, dose 4MedDRA: Back pain, Muscle spasms, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Horrible back pain, nausea, and cramps one night this week. It could have been something else but figured I would report.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 21, dose 4MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Horrible headaches recently.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-11-11
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Last night, after my initial check-in, I felt nauseous and had to lay down and go to bed a little earlier than usual. I felt normal in the morning.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Back pain (lower left flank)
Release 9 — 3 months, dose 2
Symptoms: #NAME?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lower flank pain. Kidney area feels sore. Nothing keeping me from move around, but definitely uncomfortable.
Release 10 — day 14, dose 3
Symptoms: On 11/30/2021 I woke up and was extremely off balance, so much so that I had a difficult time walking. It would probably be best described as what vertigo sounds like. I have never had this happen before. It last half the day and caused nausea.
Release 11 — 6 months, dose 3
Symptoms: Sore throat last week and ton of what seems indicative of intense seasonal allergies.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Abnormally mentally exhausted today
Release 12 — day 14, dose 4
Symptoms: Horrible back pain, nausea, and cramps one night this week. It could have been something else but figured I would report.
Release 12 — day 21, dose 4
Symptoms: Horrible headaches recently.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Mental fatigue | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release