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59Q-20377-21698

3 vaccinations 3 coded responses 39 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
727 / AR
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-03
    Dose 2 — Moderna
  13. 2021-05-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-10
    Health check-in — day 7, dose 2
    Feeling: Good · Nausea
    Adult check-in
  21. 2021-05-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-11-23
    Dose 3 — Moderna
  29. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Adult check-in
  30. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  31. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  33. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  34. 2021-11-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  35. 2021-11-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-14
    Survey response — day 21, dose 3
    MedDRA: Balance disorder, Dizziness — Feeling: Fair
    Free text: Off balanced, a bit dizzy.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-22
    Survey response — 3 months, dose 3
    MedDRA: Oropharyngeal pain, Sinus disorder, Tongue disorder — Feeling: Fair
    Free text: Probably from my sinuses, but I've had a sore throat and my tongue has been bothering me off and on. Throat feels fine right now though.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-24
    Survey response — 6 months, dose 3
    MedDRA: Paraesthesia oral, Throat irritation — Feeling: Good
    Free text: I think I have Oral Allergy Syndrome, but not sure. Itchy throat and tongue feels weird at times. I just recently started thinking it was possibly due to me adding strawberries to my morning smoothies. So stopping the strawberries to see.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-11-23
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-03Moderna
32021-11-23Moderna No

Free text

Release 10 — day 21, dose 3

2021-12-14

Symptoms: Off balanced, a bit dizzy.

Release 11 — 3 months, dose 3

2022-02-22

Symptoms: Probably from my sinuses, but I've had a sore throat and my tongue has been bothering me off and on. Throat feels fine right now though.

Release 11 — 6 months, dose 3

2022-05-24

Symptoms: I think I have Oral Allergy Syndrome, but not sure. Itchy throat and tongue feels weird at times. I just recently started thinking it was possibly due to me adding strawberries to my morning smoothies. So stopping the strawberries to see.

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
SDBalance disorder · · ✓
SDDizziness · · ✓
SDOropharyngeal pain · · ✓
SDParaesthesia oral · · ✓
SDSinus disorder · · ✓
SDThroat irritation · · ✓
SDTongue disorder · · ✓

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