58H-13835-00329
4 vaccinations
2 coded responses
35 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Hyperhidrosis, Impaired work ability, Malaise, Medical observation, Night sweats, Periorbital pain, Pyrexia — Feeling: Good · Site: Pain · ChillsFree text: Sweating. I also wanted to report, since I was unable to register the day I got the vaccine, I had a persistent headache several hours after receiving the dose. Then I felt extremely ill from 12am on Friday beginning with chills, then fever, night sweats, and periorbital pain. I took a sick day from work as I could not work. Let the fever ride and consumed my doctor and I eventually decided to take acetaminophen late Friday afternoon. Fever subsided and never returned to such a degree. I still some up this morning with night sweats but overall feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-04
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-12
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-11-09
Dose 3 — Moderna
- 2022-02-06
- 2022-02-08
- 2022-05-10
-
2022-10-19
Dose 4 — Moderna
-
2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2022-10-22
- 2022-10-24
- 2022-10-29
- 2022-11-05
- 2022-11-11
- 2022-11-16
- 2022-11-23
- 2022-12-01
- 2023-01-20
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sweating. I also wanted to report, since I was unable to register the day I got the vaccine, I had a persistent headache several hours after receiving the dose. Then I felt extremely ill from 12am on Friday beginning with chills, then fever, night sweats, and periorbital pain. I took a sick day from work as I could not work. Let the fever ride and consumed my doctor and I eventually decided to take acetaminophen late Friday afternoon. Fever subsided and never returned to such a degree. I still some up this morning with night sweats but overall feel fine.
Release 3 — day 0, dose 2
Systemic reaction (other): Light headedness
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Periorbital pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release