5NP-24801-08417
4 vaccinations
5 coded responses
39 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Glossitis — Feeling: Fair · Site: Pain · NauseaFree text: Tongue was a bit raw last night. Mid tongue taist/textureis off todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-24
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: No middle and front of tongue dull. Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Abdominal pain lower, Abdominal pain upper, Exercise tolerance decreased, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bad pain in lower abdomen. Felt like muscle pain after a hard workout. Nothing happened that would account for this pain. Almost went to doctor. Pain in upper abdomen on right side as well. Once again, nothing that could explain pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Musculoskeletal chest pain — Feeling: GoodFree text: Pain comes and goes in upper right-middle abdomen at lower rib.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Migraine, Visual processing disorder — 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: Migrane - never had before. Disrupted visual processing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-13
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)
- 2021-07-23
- 2021-10-14
-
2022-01-10
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-04-17
-
2023-01-11
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2023-01-12
- 2023-01-14
- 2023-01-15
- 2023-01-16
- 2023-01-17
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
- 2023-02-15
- 2023-02-22
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2022-01-10 | Pfizer-BioNTech | Flu |
| 4 | 2023-01-11 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tongue was a bit raw last night. Mid tongue taist/textureis off today
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No middle and front of tongue dull. Metallic taste in mouth
Release 8 — day 14, dose 2
Symptoms: Bad pain in lower abdomen. Felt like muscle pain after a hard workout. Nothing happened that would account for this pain. Almost went to doctor. Pain in upper abdomen on right side as well. Once again, nothing that could explain pain.
Release 8 — day 28, dose 2
Symptoms: Pain comes and goes in upper right-middle abdomen at lower rib.
Release 9 — 3 months, dose 2
Symptoms: Migrane - never had before. Disrupted visual processing.
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Brain fog | ○ | ○ | ○ |
| SD | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Visual processing disorder | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Glossitis | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release