5EX-28851-99695
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 860 / AZ
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
- 2021-03-09
-
2021-03-12
Survey response — day 21, dose 1MedDRA: Dizziness, Fatigue — Feeling: FairFree text: Fatigue. I just felt kind of tired. I dont know if its anything to do with the vaccine. But I also feel a little dizzy as well, which is more unusual than just being fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Dose 2 — Moderna
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessFree text: A little bit of an asthma-like feeling; it's a little harder to breathe than it usually is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Difficulty sleeping, but that could have been from caffeine and nothing to do with immunizationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-28
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-06-20
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Bacterial prostatitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-03
Dose 3 — Moderna
-
2021-11-03
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Difficulty sleeping, discomfortMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-12
- 2021-11-18
- 2021-11-25
- 2021-12-10
- 2021-12-15
- 2022-02-05
- 2022-05-05
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Fatigue. I just felt kind of tired. I dont know if its anything to do with the vaccine. But I also feel a little dizzy as well, which is more unusual than just being fatigued.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): A little bit of an asthma-like feeling; it's a little harder to breathe than it usually is.
Systemic reaction (other): Difficulty sleeping, but that could have been from caffeine and nothing to do with immunization
Release 9 — 3 months, dose 2
Symptoms: Bacterial prostatitis
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Difficulty sleeping, discomfort
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release