5HW-12860-76886
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 322 / FL
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Erythema, Induration, Limb mass, Medical counselling, Peripheral swelling, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a large lump on my arm show up on the evening of 4/7 after my last check in. It was 2 in wide and 2.5 in long, hard, red, swollen and itchy. I called my Dr as i was concerned. It lasted about 4 days and went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, SwellingFree text: Sweaty like a small fever is breaking but never had a feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-14
- 2021-05-21
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2021-05-26
Survey response — day 28, dose 2MedDRA: Epistaxis, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Yesterday I had a sudden bloody nose. Not sure where it came from. Had used flonase 2 preceding days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Heart rate increased, Hospitalisation, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: On June 17th I had an abnormal rapid heart beat, was short of breath and did not feel well. I was hopitalized and after an IV bag of fluids and multiple rests and bloodwork released. They were not able to conclude what caused this.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-03
- 2021-08-05
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain, Sinus disorder — 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 visitFree text: October 12 - 26th I had a cold. Mostly a sinus issues, a sore throat and feeling very tired.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-28
- 2022-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — day 14, dose 1
Symptoms: I had a large lump on my arm show up on the evening of 4/7 after my last check in. It was 2 in wide and 2.5 in long, hard, red, swollen and itchy. I called my Dr as i was concerned. It lasted about 4 days and went away.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sweaty like a small fever is breaking but never had a fever
Release 8 — day 28, dose 2
Symptoms: Yesterday I had a sudden bloody nose. Not sure where it came from. Had used flonase 2 preceding days.
Release 9 — 3 months, dose 2
Symptoms: On June 17th I had an abnormal rapid heart beat, was short of breath and did not feel well. I was hopitalized and after an IV bag of fluids and multiple rests and bloodwork released. They were not able to conclude what caused this.
Release 10 — 6 months, dose 2
Symptoms: October 12 - 26th I had a cold. Mostly a sinus issues, a sore throat and feeling very tired.
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 | Dyspnoea | ✓ | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Induration | ✓ | ✓ | ✓ |
| SD | Limb mass | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release