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5KF-17179-05518

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
430 / OH
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Moderna
  3. 2021-02-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Last evening I felt sort of just not quite right.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-09
    Survey response — day 7, dose 1
    MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tiredness
    Free text: I may be getting a cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Very dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-03-16
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Last Friday evening I began feeling dizzy and my ears were ringing loudly and also had a loud roar. This lasted until this morning. Left ear is still ringing louder than usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Carpal tunnel decompression, Hospitalisation, Office visit, Tendon sheath incision, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Left hand carpal tunnel surgery & LH middle finger trigger finger surgery. Hospitalized for severe vertigo attack. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-31
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-09-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-03-02
    Survey response — 12 months, dose 2
    MedDRA: Oesophageal spasm — Feeling: Good
    Free text: Esophageal spasms
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Last evening I felt sort of just not quite right.

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): I may be getting a cold

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Very dry mouth

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Last Friday evening I began feeling dizzy and my ears were ringing loudly and also had a loud roar. This lasted until this morning. Left ear is still ringing louder than usual.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Left hand carpal tunnel surgery & LH middle finger trigger finger surgery. Hospitalized for severe vertigo attack.
Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Esophageal spasms

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
HCVOOffice visit ✓ · ✓
SDCarpal tunnel decompression ✓ · ✓
SDDizziness ✓ ✓ ✓
SDHospitalisation ✓ · ✓
SDOesophageal spasm · · ✓
SDTendon sheath incision ✓ · ✓
SDTinnitus ✓ ✓ ✓
SDVertigo ✓ · ✓
SRODry mouth ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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