5R3-33174-01089
3 vaccinations
10 coded responses
19 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 641 / MO
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Dose 1 — Moderna
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 2 — Moderna
- 2021-03-29
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Electric shock sensation — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Electrical current like feeling (nerve) in pinkie toeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Fatigue or tirednessFree text: Psoriasis aggravationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Pre-existing disease, Psoriasis — Feeling: Fair · Fever · Fatigue or tirednessFree text: Psoriasis aggravation, seasonal allergy aggravationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Survey response — day 7, dose 2MedDRA: Depressed mood, Depression, Inflammation — Feeling: Fair · DiarrheaFree text: Sadness, depression, inflamed toesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
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2021-04-26
Survey response — day 28, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold like symptoms, ruby nose, cough. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 35, dose 2MedDRA: Cough, Rhinorrhoea, Sinus congestion — Feeling: FairFree text: Cough, cold symptoms. Runny nose, dry cough, now sinus congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 42, dose 2MedDRA: Nasopharyngitis, Pain, Paranasal sinus hypersecretion, Sensitive skin — Feeling: FairFree text: Sensitive toes. Can get painful. Cold/sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
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2021-09-27
Survey response — 6 months, dose 2MedDRA: Headache, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme sinus inflammation and headaches but could be seasonal allergy related (ragweed)MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Dose 3 — Moderna
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2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea, Stomatitis — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Sniffles and mouth inflammationMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
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2021-12-07
Survey response — day 14, dose 3MedDRA: Fatigue, Hypersomnia — Feeling: FairFree text: General fatigue. Sleeping longer.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Electrical current like feeling (nerve) in pinkie toe
Systemic reaction (other): Psoriasis aggravation
Systemic reaction (other): Psoriasis aggravation, seasonal allergy aggravation
Release 6 — day 7, dose 2
Systemic reaction (other): Sadness, depression, inflamed toes
Release 8 — day 28, dose 2
Symptoms: Cold like symptoms, ruby nose, cough. No fever.
Release 8 — day 35, dose 2
Symptoms: Cough, cold symptoms. Runny nose, dry cough, now sinus congestion.
Release 8 — day 42, dose 2
Symptoms: Sensitive toes. Can get painful. Cold/sinus drainage
Release 9 — 6 months, dose 2
Symptoms: Extreme sinus inflammation and headaches but could be seasonal allergy related (ragweed)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sniffles and mouth inflammation
Release 10 — day 14, dose 3
Symptoms: General fatigue. Sleeping longer.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Psoriasis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release