5Q9-10801-91865
5 vaccinations
14 coded responses
49 check-ins
13 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 431 / OH
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Registered in v-safe
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2021-02-17
Dose 1 — Moderna
- 2021-02-17
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-19
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesFree text: What felt like a attack of arthritis happened in my feet last night, dont know if it is related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body achesFree text: Much less than previous daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-18
Dose 2 — Moderna
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-23
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired the last few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 28, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: FairFree text: Fatigue and breathing issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-06-17
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2021-09-16
Survey response — 6 months, dose 2MedDRA: Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tired, runny nose, 02 level is fine.MedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Dose 3 — Moderna
- 2021-10-28
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2021-10-29
Health check-in — day 7, dose 3Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-05
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2021-11-12
Survey response — day 21, dose 3MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, just can't get rested enough.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Sinus congestion — Feeling: FairFree text: Sinus, constant congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Dose 4 — Moderna
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2022-04-18
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue after my 4th doseMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — day 35, dose 4MedDRA: Fatigue, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue continues, severe muscle crampsMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — day 42, dose 4MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activitiesFree text: Body cramps, mostly legs and ankles.MedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Survey response — 3 months, dose 4MedDRA: Asthenia, Dyspnoea, Electrocardiogram abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Lack of energy and shortness of breath. Tested twice negative, saw my primary physician who gave me an EKG and saw and a regularity. Scheduled to take a chemical stress test at the hospital soon. · Healthcare visit (other): Visit with primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-06-21
Call successfulDoes not wish to fill out VAERS report
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2022-09-12
Dose 5 — ModernaCo-administered: Flu
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2022-09-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-18
- 2022-09-20
- 2022-09-26
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2022-10-03
Survey response — day 21, dose 5MedDRA: Rhinorrhoea, Unevaluable event — Feeling: GoodFree text: Sinus, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 5MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Typical COVID stuff, but have tested negative 2 timesMedDRA releases: 2024-11 · check-in free text available
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2023-03-13
Survey response — 6 months, dose 5MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-03-18 | Moderna | No |
| 5 | 2022-09-12 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): What felt like a attack of arthritis happened in my feet last night, dont know if it is related.
Systemic reaction (other): Much less than previous days
Release 7 — day 21, dose 2
Symptoms: Very tired the last few days.
Release 7 — day 28, dose 2
Symptoms: Fatigue and breathing issues
Release 9 — 6 months, dose 2
Symptoms: Tired, runny nose, 02 level is fine.
Release 10 — day 21, dose 3
Symptoms: Fatigue, just can't get rested enough.
Release 10 — 3 months, dose 3
Symptoms: Sinus, constant congestion.
Release 11 — day 28, dose 4
Symptoms: Fatigue after my 4th dose
Release 11 — day 35, dose 4
Symptoms: Fatigue continues, severe muscle cramps
Release 11 — day 42, dose 4
Symptoms: Body cramps, mostly legs and ankles.
Release 12 — 3 months, dose 4
Symptoms: Lack of energy and shortness of breath. Tested twice negative, saw my primary physician who gave me an EKG and saw and a regularity. Scheduled to take a chemical stress test at the hospital soon.
Healthcare visit (other): Visit with primary care physician
Release 12 — day 21, dose 5
Symptoms: Sinus, runny nose
Release 12 — 3 months, dose 5
Symptoms: Typical COVID stuff, but have tested negative 2 times
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 | Asthenia | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release