5GA-22017-41485
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 014 / MA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-22
- 2021-04-29
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Vision blurred — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: I had blurred vision today last about 10 seconds. And later a sharp pain in my head that lasted seconds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 28, dose 2MedDRA: Ear infection, Heart rate increased — Feeling: FairFree text: I have an ear infection (that Im having difficulty getting rid of) and I had an elevated heart rate of 209 beats per minute (while sitting) that lasted for 3 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Survey response — day 35, dose 2MedDRA: Ear infection — Feeling: GoodFree text: I am still dealing with an ear infection (about 3 weeks now), weve done two rounds of antibiotics so far. Seeing an ENT tomorrow. Unsure if any of this could be as the result of the vaccine or something completely unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
- 2021-08-05
- 2021-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had blurred vision today last about 10 seconds. And later a sharp pain in my head that lasted seconds.
Release 8 — day 28, dose 2
Symptoms: I have an ear infection (that Im having difficulty getting rid of) and I had an elevated heart rate of 209 beats per minute (while sitting) that lasted for 3 minutes.
Release 9 — day 35, dose 2
Symptoms: I am still dealing with an ear infection (about 3 weeks now), weve done two rounds of antibiotics so far. Seeing an ENT tomorrow. Unsure if any of this could be as the result of the vaccine or something completely unrelated.
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 | Ear infection | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release