5PP-81188-41063
4 vaccinations
4 coded responses
50 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 283 / NC
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
-
2021-02-17
Survey response — day 0, dose 1MedDRA: Ear discomfort — Feeling: Good · Site: ItchingFree text: Slight pressure changes in my earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort — Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ears popped a few times last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Ear discomfort, Otitis externa — Feeling: GoodFree text: My ears have had usual pressure changes; popping, and bubbling as if I were on a long flight or had swimmers ear. My ears have been ringing a bit as well. Nothing major and I have no idea if it has anything todo with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-11-12
Dose 3 — ModernaCo-administered: Flu
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-05-13
Survey response — 6 months, dose 3MedDRA: COVID-19, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested Positive for Covid 19 - congestion, runny nose, sore throat - all related to Current Covid 19 diagnosis.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Dose 4 — ModernaCo-administered: Flu
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-09
- 2022-12-28
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-12 | Moderna | Flu |
| 4 | 2022-09-26 | Moderna | Flu |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slight pressure changes in my ears
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Ears popped a few times last night
Release 6 — day 14, dose 2
Symptoms: My ears have had usual pressure changes; popping, and bubbling as if I were on a long flight or had swimmers ear. My ears have been ringing a bit as well. Nothing major and I have no idea if it has anything todo with the vaccine.
Release 11 — 6 months, dose 3
Symptoms: Tested Positive for Covid 19 - congestion, runny nose, sore throat - all related to Current Covid 19 diagnosis.
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 | COVID-19 | · | · | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Otitis externa | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release