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5HU-26513-97650

5 vaccinations 8 coded responses 49 check-ins 8 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
224 / VA
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-03-18
    Registered in v-safe
  3. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-01
    Survey response — day 14, dose 1
    MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have not been sleeping well since the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-14
    Dose 2 — Moderna
  12. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site rash, Neck pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness
    Free text: My infection site isnt just red, there is a large oval rash on it. The pain Im experiencing is the back of my neck and I still have the sniffles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Insomnia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Having trouble sleeping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-12
    Survey response — day 28, dose 2
    MedDRA: Insomnia, Pelvic pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Extreme pain in the area of the pubic bone and lack of sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-12
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-26
    Survey response — day 42, dose 2
    MedDRA: Sleep deficit, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Uti infection. And lack of sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-26
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-24
    Dose 3 — Moderna
    Co-administered: Pneumonia
  28. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  29. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  30. 2021-11-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-06
    Dose 4 — Moderna
  37. 2022-04-07
  38. 2022-04-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-04-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-04-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-07-06
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-05
    Dose 5 — Moderna
  46. 2022-10-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  47. 2022-10-08
    Survey response — 6 months, dose 4
    MedDRA: Chills, Headache, Malaise, Mental impairment, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I got the bivalent booster on 10/5. On 10/6 I felt terrible. Chills, pounding headache, trouble thinking, body aches. On 10/7 I'm pretty much back to normal
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-10-09
    Survey response — days 1–6 daily, dose 5
    MedDRA: Brain fog — Feeling: Good
    Free text: Head is Still a bit foggy
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-10-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  50. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  51. 2022-10-12
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  52. 2022-10-19
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-10-26
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-11-02
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-11-09
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-11-16
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  57. 2023-01-04
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  58. 2023-04-05
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna
32021-10-24Moderna Pneumonia
42022-04-06Moderna No
52022-10-05Moderna No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-01

Symptoms: I have not been sleeping well since the shot.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Runny nose

2021-04-16

Systemic reaction (other): My infection site isnt just red, there is a large oval rash on it. The pain Im experiencing is the back of my neck and I still have the sniffles

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Having trouble sleeping

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Extreme pain in the area of the pubic bone and lack of sleep

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Uti infection. And lack of sleep

Release 12 — 6 months, dose 4

2022-10-08

Symptoms: I got the bivalent booster on 10/5. On 10/6 I felt terrible. Chills, pounding headache, trouble thinking, body aches. On 10/7 I'm pretty much back to normal

Release 12 — days 1–6 daily, dose 5

2022-10-09

Systemic reaction (other): Head is Still a bit foggy

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
SDChills · · ✓
SDHeadache · · ✓
SDInsomnia ✓ ✓ ✓
SDMalaise · · ✓
SDMental impairment · · ✓
SDPain · · ✓
SDPelvic pain ✓ ✓ ✓
SDSleep deficit ✓ ✓ ✓
SDUrinary tract infection ✓ ✓ ✓
SROBrain fog · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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