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5GM-20066-91957

5 vaccinations 3 coded responses 26 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
442 / OH
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Fair
    Free text: I've had elevated blood glucose readings ever since the first modern dose without any change in my eating pattern. My daily readings have jumped to over 400 average since vaccine from 148 average for the previous 90 days before the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Dose 2 — Moderna
  12. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  13. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  17. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-06-17
    Survey response — day 42, dose 2
    MedDRA: Blood glucose fluctuation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My blood glucose readings still have not stabilized since the first Moderna shot. My average readings for 120 days before the shot were 148. My average reading since the shot is 472 with no change in eating patterns.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-17
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-06-29
  23. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-02
    Dose 3 — Moderna
  26. 2022-04-28
    Dose 4 — Moderna
  27. 2022-05-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-09-20
    Dose 5 — Moderna
    Co-administered: Flu
  29. 2022-10-01
    Health check-in — day 7, dose 5
    Feeling: Good · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  30. 2022-10-04
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  31. 2022-10-11
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-10-18
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-10-26
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  34. 2023-03-21
    Survey response — 6 months, dose 5
    MedDRA: Hospitalisation, International normalised ratio increased, Prothrombin time prolonged — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna
32021-12-02Moderna No
42022-04-28Moderna No
52022-09-20Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-04-29

Symptoms: I've had elevated blood glucose readings ever since the first modern dose without any change in my eating pattern. My daily readings have jumped to over 400 average since vaccine from 148 average for the previous 90 days before the vaccine.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: My blood glucose readings still have not stabilized since the first Moderna shot. My average readings for 120 days before the shot were 148. My average reading since the shot is 472 with no change in eating patterns.

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
SDBlood glucose fluctuation ✓ ✓ ✓
SDBlood glucose increased ✓ ✓ ✓
SDHospitalisation · · ✓
SDInternational normalised ratio increased · · ✓
SDPre-existing disease ✓ ✓ ✓
SDProthrombin time prolonged · · ✓

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

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