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59M-37162-71581

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
976 / OR
Registered
2021-03-01
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-01
    Registered in v-safe
  2. 2021-03-01
    Dose 1 — Moderna
  3. 2021-03-01
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-03-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-29
    Dose 2 — Moderna
  13. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  15. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  16. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Fatigue — Feeling: Fair
    Free text: Feels like im really exhausted more... im 68 and always outside doing something or taking my Beagle for runs... i get plenty of exercise and not out of shape.. Also my joints bother me where they did not as much before vaccine...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-04
    Survey response — day 35, dose 2
    MedDRA: Headache, Mobility decreased, Musculoskeletal chest pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pain in my rib cage on both sides. I have not fallen or been hit... have considered seeing a doctor since its hard to bend over along with a painful headache in the morning. I can only contribute to vaccine..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-10
    Survey response — day 42, dose 2
    MedDRA: Bronchitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got bronchitis and had to go to doctor... do not smoke or drink.. Always healthy and active.Still dealing with it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-10
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-09-30
    Survey response — 6 months, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: Seems i have a cough i didnt have before. Retired so i will deal with it. Will get booster when approved. Maderna is the one i had
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-31
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2022-04-18
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Feels like im really exhausted more... im 68 and always outside doing something or taking my Beagle for runs... i get plenty of exercise and not out of shape.. Also my joints bother me where they did not as much before vaccine...

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Pain in my rib cage on both sides. I have not fallen or been hit... have considered seeing a doctor since its hard to bend over along with a painful headache in the morning. I can only contribute to vaccine..

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Got bronchitis and had to go to doctor... do not smoke or drink.. Always healthy and active.Still dealing with it

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Seems i have a cough i didnt have before. Retired so i will deal with it. Will get booster when approved. Maderna is the one i had

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
SDArthralgia ✓ ✓ ✓
SDBronchitis ✓ ✓ ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓

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