584-84764-38523
5 vaccinations
23 coded responses
56 check-ins
22 free-text entries
7 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 604 / IL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Moderna
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2021-03-24
Registered in v-safe
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose decreased — Feeling: GoodFree text: Increased insulin sensitivity (lower blood sugar levels)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-15
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2021-04-16
Dose 2 — Moderna
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2021-04-16
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: So far, so good. Grateful to God.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-19
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fatigue or tirednessFree text: Awoke with mild malaise symptoms. Has improved a little as the day has continued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Good · Site: Pain, ItchingFree text: Very mild feeling of malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
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2021-04-30
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Mild sporadic headache the past couple of days with periodic mild feeling of pressure in my brain. Ive had this feeling before, and am being followed by a neurosurgeon for a possible cavernous carotid fistula. So may have nothing to do w/ vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not related to CovidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Metamorphopsia, Sensory disturbance — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had an episode of right-sided facial numbness, weird sensation in my head, and visual distortion out of my right eye for about 10-15 minutes last week while driving. Currently trying to follow up with my doctors about what it. No episodes since thenMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-16
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2021-10-27
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Mowing the lawn today was more exhausting than usual. Not sure if the booster shot is the cause or a cause or neither.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal, Malaise — Feeling: Good · Fatigue or tirednessFree text: I felt a bit off while driving yesterday. Felt a bit distorted and mildly unwell. Perhaps I was dehydrated. Feel better today, although I have not been out driving. Best wishes to you all.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-10
- 2022-01-12
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Illness, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had mild illness symptoms for past week, and presently feel like my body wants to go into bronchitis but is being prevented from doing so. I take a lot of immune boosting supplements. Could all be due to a finger infection I'm recovering from thoughMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-28
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2022-04-29
Dose 4 — Moderna
- 2022-04-29
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Office visit, Pre-existing disease, Respiratory disorder, Upper respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had some breathing issues and upper resp chest congestion. Did home test twice on different days. Both negative. Went to urgent care and yeated negative. Discovered that I am having some unusual allergies to electromagnetic stuff. Trying to adjustMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Blood glucose fluctuation, Diabetes mellitus, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: My blood sugars were very irregular all day yesterday after the shot. I went very low and then very high. Today is a bit better. I have type 1 diabetes (dx 1987).MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-02
- 2022-05-02
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2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Throat irritation — Feeling: GoodFree text: Tickle in my throat since last night. At worse, it can cause coughing in an attenpt to clear the tickle. I've increased my immine boosting supplements.MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Blood glucose increased, Feeling abnormal, Malaise, Pyrexia, Self-medication — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Felt a bit off today. A bit spacey. A bit unwell. I was driving when I felt a little feverish. I took a couple of Tylenol, and felt a lottle better. Now it's the evening, and I am feeling better. My blood sugars are also back below 200MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
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2022-05-08
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: GoodFree text: Feeling much better today. Thank you and bless you all.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
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2022-05-20
Survey response — day 21, dose 4MedDRA: Malaise — Feeling: GoodFree text: Just mild unwellness for the past few days. It's been improving slowly since yesterday. No fever during this time, just a feeling of mild unwellness. Doing all I can to stay well, and make sure to take all of my wellness supplements every day.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-04
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2022-06-10
Survey response — day 42, dose 4MedDRA: Oropharyngeal discomfort, SARS-CoV-2 test negative — Feeling: GoodFree text: Had discomfort while swallowing for about three days starting five days ago. It seems to have resolved itself. I did do a home Covid test three days ago, which was negative.MedDRA releases: 2024-11 · check-in free text available
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2022-07-31
Survey response — 3 months, dose 4MedDRA: Confusional state, Fatigue, Insomnia, Memory impairment, Oropharyngeal pain, Pain — Feeling: GoodFree text: Fatigue, mild body aches, mild sore throat, some confusion or forgetfulness at times, insomnia.MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Dose 5 — Moderna
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2022-09-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-27
Health check-in — day 7, dose 5Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-04
Survey response — day 14, dose 5MedDRA: Dysgeusia, Heart rate abnormal, Nausea, Salivary hypersecretion, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Since getting the vaccine, I developed a bad taste in my mouth throughout the day & excess saliva. Have had two episodes of the bad taste leading to nausea (w/o vomiting) and then my heart freaking out (fast then slow then fast). · Healthcare visit (other): Planning to see my cardiologistMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-05
- 2022-10-05
- 2022-10-10
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2022-10-11
Survey response — day 21, dose 5MedDRA: Cardiac disorder, Dyspnoea, Malaise — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The shot definitely impacted my heart. In the two weeks after the shot, I had increased breathlessness sometimes even from talking. Also had two very insane heart freak out episodes. Thought I was going to die. Better now. Have appt w/ cardiologist.MedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-12
- 2022-10-17
- 2022-10-19
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2022-10-25
Survey response — day 35, dose 5MedDRA: Cellulitis, Fatigue, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Skin outbreak on my lower right leg. Went to Urgent Care. Dx as cellulitis outbreak. Put in antibiotic. Had my flu shot four days ago. I've also been very fatigued the past few days. Perhaps it is due to the flu vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-26
- 2022-11-01
- 2022-11-22
- 2022-11-22
- 2022-11-22
- 2022-11-22
- 2022-11-22
- 2022-11-22
- 2022-12-21
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2023-03-21
Survey response — 6 months, dose 5MedDRA: Cardiac disorder, Dyspnoea, Echocardiogram abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-21
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-22
- 2023-03-22
- 2023-03-22
- 2023-03-22
- 2023-03-22
- 2023-03-22
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
Call center
7 call center cases
7 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight dizziness
Systemic reaction (other): Increased insulin sensitivity (lower blood sugar levels)
Release 7 — day 0, dose 2
Systemic reaction (other): So far, so good. Grateful to God.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Awoke with mild malaise symptoms. Has improved a little as the day has continued.
Systemic reaction (other): Very mild feeling of malaise
Release 8 — day 14, dose 2
Symptoms: Mild sporadic headache the past couple of days with periodic mild feeling of pressure in my brain. Ive had this feeling before, and am being followed by a neurosurgeon for a possible cavernous carotid fistula. So may have nothing to do w/ vaccine.
Release 8 — day 21, dose 2
Symptoms: Not related to Covid
Release 9 — 3 months, dose 2
Symptoms: Had an episode of right-sided facial numbness, weird sensation in my head, and visual distortion out of my right eye for about 10-15 minutes last week while driving. Currently trying to follow up with my doctors about what it. No episodes since then cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mowing the lawn today was more exhausting than usual. Not sure if the booster shot is the cause or a cause or neither.
Systemic reaction (other): I felt a bit off while driving yesterday. Felt a bit distorted and mildly unwell. Perhaps I was dehydrated. Feel better today, although I have not been out driving. Best wishes to you all.
Release 11 — 3 months, dose 3
Symptoms: Had mild illness symptoms for past week, and presently feel like my body wants to go into bronchitis but is being prevented from doing so. I take a lot of immune boosting supplements. Could all be due to a finger infection I'm recovering from though cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Had some breathing issues and upper resp chest congestion. Did home test twice on different days. Both negative. Went to urgent care and yeated negative. Discovered that I am having some unusual allergies to electromagnetic stuff. Trying to adjust
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My blood sugars were very irregular all day yesterday after the shot. I went very low and then very high. Today is a bit better. I have type 1 diabetes (dx 1987).
Systemic reaction (other): Tickle in my throat since last night. At worse, it can cause coughing in an attenpt to clear the tickle. I've increased my immine boosting supplements.
Systemic reaction (other): Felt a bit off today. A bit spacey. A bit unwell. I was driving when I felt a little feverish. I took a couple of Tylenol, and felt a lottle better. Now it's the evening, and I am feeling better. My blood sugars are also back below 200
Release 11 — day 7, dose 4
Systemic reaction (other): Feeling much better today. Thank you and bless you all.
Release 11 — day 21, dose 4
Symptoms: Just mild unwellness for the past few days. It's been improving slowly since yesterday. No fever during this time, just a feeling of mild unwellness. Doing all I can to stay well, and make sure to take all of my wellness supplements every day.
Release 12 — day 42, dose 4
Symptoms: Had discomfort while swallowing for about three days starting five days ago. It seems to have resolved itself. I did do a home Covid test three days ago, which was negative.
Release 12 — 3 months, dose 4
Symptoms: Fatigue, mild body aches, mild sore throat, some confusion or forgetfulness at times, insomnia.
Release 12 — day 14, dose 5
Symptoms: Since getting the vaccine, I developed a bad taste in my mouth throughout the day & excess saliva. Have had two episodes of the bad taste leading to nausea (w/o vomiting) and then my heart freaking out (fast then slow then fast).
Healthcare visit (other): Planning to see my cardiologist
Release 12 — day 21, dose 5
Symptoms: The shot definitely impacted my heart. In the two weeks after the shot, I had increased breathlessness sometimes even from talking. Also had two very insane heart freak out episodes. Thought I was going to die. Better now. Have appt w/ cardiologist. cut off by CDC
Release 12 — day 35, dose 5
Symptoms: Skin outbreak on my lower right leg. Went to Urgent Care. Dx as cellulitis outbreak. Put in antibiotic. Had my flu shot four days ago. I've also been very fatigued the past few days. Perhaps it is due to the flu vaccine
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Echocardiogram abnormal | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Metamorphopsia | ✓ | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Salivary hypersecretion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sensory disturbance | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Blood glucose fluctuation | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diabetes mellitus | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release