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5Q6-26399-92062

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
925 / CA
Registered
2021-01-20
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-20
    Registered in v-safe
  2. 2021-01-20
    Dose 1 — Moderna
  3. 2021-01-20
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Immediate post-injection reaction, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: On the day of the shot I had a mild pain and tingling in the center of my chest which started about 45 minutes after the shot and lasted about 10-15 minutes. Yesterday I didnt report it because it doesnt really fall in any of your categories. I was ok once it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Fair · Nausea, Diarrhea, Abdominal pain
    Adult check-in
  9. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-10
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain upper, Chest pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued Chest and stomach pain issues from prior COVID infection. I was told that they don't think I'm infectious because my first COVID diagnoses was on 12/7/20 and that this positive test was likely a continuance of that COVID episode.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Dose 2 — Moderna
  13. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Abdominal pain
    Adult check-in
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-19
    Survey response — day 28, dose 2
    MedDRA: Chest pain, Nausea, Total lung capacity decreased — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Nausea, chest pain and some limited lung capacity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-23
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Chest discomfort, Chest pain, Gastrointestinal disorder, Gastrooesophageal reflux disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Intestinal issues (acid reflux, chest pain/pressure, mild/moderate stomach pain)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-08-20
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Chest pain, Office visit — Feeling: Fair · 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: Symptoms: Continued chest and stomach pains · Healthcare visit (other): Cardiologist, GI Dr, and numerous testing procedures.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-20
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-08-27

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-19Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): On the day of the shot I had a mild pain and tingling in the center of my chest which started about 45 minutes after the shot and lasted about 10-15 minutes. Yesterday I didnt report it because it doesnt really fall in any of your categories. I was ok once it went away.

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Continued Chest and stomach pain issues from prior COVID infection. I was told that they don't think I'm infectious because my first COVID diagnoses was on 12/7/20 and that this positive test was likely a continuance of that COVID episode.

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Nausea, chest pain and some limited lung capacity.

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Intestinal issues (acid reflux, chest pain/pressure, mild/moderate stomach pain)

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Continued chest and stomach pains
Healthcare visit (other): Cardiologist, GI Dr, and numerous testing procedures.

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 ✓ · ✓
SDAbdominal pain upper ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDTotal lung capacity decreased ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROImmediate post-injection reaction ✓ · ✓
SROParaesthesia ✓ ✓ ✓

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