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573-12989-06592

3 vaccinations 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
441 / OH
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-03-29
    Dose 2 — Moderna
  3. 2021-04-14
    Registered in v-safe
  4. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain, Diarrhoea, Gastrointestinal pain, Nausea — Feeling: Good
    Free text: Abdominal pain presented itself, lower left gut side on 13th day. Today is 16th day with same amount of pain across front abdomen. No nausea just a feeling like a gut punch. No fever. Had loose stool 13th day only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-19
    Survey response — day 21, dose 2
    MedDRA: Gastrointestinal pain, Headache, Myalgia, Rash — Feeling: Good · Be unable to do your normal daily activities
    Free text: Raw lower leg rash around both ankles, with bone muscle skeletal aches. Gut pain headaches are over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-29
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Rash — Feeling: Good
    Free text: Short term memory affected. No fog,remembering something within 5 minutes. Like put my phone down, i knew i had it but cannot locate it. Frustrating we do not have dementia/alzheimer disease in our family. Had vertical and horizontal rashes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-09-27
    Survey response — 6 months, dose 2
    MedDRA: Chest discomfort, Cough, Gastrointestinal disorder, Pharyngitis, Rash — Feeling: Fair
    Free text: Pharyngitis its confusing i never suffered from allergies. Had 2tests since 3/20, last Nov 2020 all neg or false neg. Had weight of chest, cough, stomach gut issues, rashes 2 different strains, went to Labcorp no antibodies. No fever.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-08
    Dose 3 — Moderna
  9. 2021-10-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  10. 2021-11-06
    Survey response — day 28, dose 3
    MedDRA: Cough, Dyspnoea, Oral discomfort, Respiratory tract congestion — Feeling: Good
    Free text: Breathing like between the throat and nostrils- congested. Then if take deep breath with open mouth, causes cough funny feeling back by uvula. 2wks in with this. Funny feeling, as you know its not normal.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-11-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna
32021-10-08Moderna No

Free text

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Abdominal pain presented itself, lower left gut side on 13th day. Today is 16th day with same amount of pain across front abdomen. No nausea just a feeling like a gut punch. No fever. Had loose stool 13th day only.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Raw lower leg rash around both ankles, with bone muscle skeletal aches. Gut pain headaches are over.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Short term memory affected. No fog,remembering something within 5 minutes. Like put my phone down, i knew i had it but cannot locate it. Frustrating we do not have dementia/alzheimer disease in our family. Had vertical and horizontal rashes.

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Pharyngitis its confusing i never suffered from allergies. Had 2tests since 3/20, last Nov 2020 all neg or false neg. Had weight of chest, cough, stomach gut issues, rashes 2 different strains, went to Labcorp no antibodies. No fever.

Release 10 — day 28, dose 3

2021-11-06

Symptoms: Breathing like between the throat and nostrils- congested. Then if take deep breath with open mouth, causes cough funny feeling back by uvula. 2wks in with this. Funny feeling, as you know its not normal.

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 ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDChest discomfort · · ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDGastrointestinal disorder · · ✓
SDGastrointestinal pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOral discomfort · · ✓
SDPharyngitis · · ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓

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