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
-
2021-03-01
Registered in v-safe
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2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-15
- 2021-03-22
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2021-03-29
Dose 2 — Moderna
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2021-03-29
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-05
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — day 14, dose 2MedDRA: Arthralgia, Fatigue — Feeling: FairFree 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
- 2021-04-19
- 2021-04-27
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2021-05-04
Survey response — day 35, dose 2MedDRA: Headache, Mobility decreased, Musculoskeletal chest pain — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2021-05-10
Survey response — day 42, dose 2MedDRA: Bronchitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Got bronchitis and had to go to doctor... do not smoke or drink.. Always healthy and active.Still dealing with itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: FairFree 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 hadMedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
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2022-04-18
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release