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
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-20
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Immediate post-injection reaction, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree 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
- 2021-01-22
- 2021-01-24
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 1MedDRA: Abdominal pain upper, Chest pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-02-17
-
2021-02-19
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-03-19
Survey response — day 28, dose 2MedDRA: Chest pain, Nausea, Total lung capacity decreased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea, chest pain and some limited lung capacity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Chest discomfort, Chest pain, Gastrointestinal disorder, Gastrooesophageal reflux disease — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-08-20
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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
-
2021-08-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
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
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
Symptoms: Nausea, chest pain and some limited lung capacity.
Release 8 — 3 months, dose 2
Symptoms: Intestinal issues (acid reflux, chest pain/pressure, mild/moderate stomach pain)
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Total lung capacity decreased | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release