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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

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-29
    Registered in v-safe
  3. 2021-03-29
    Dose 2 — Moderna
  4. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Electric shock sensation — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Electrical current like feeling (nerve) in pinkie toe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Fatigue or tiredness
    Free text: Psoriasis aggravation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease, Psoriasis — Feeling: Fair · Fever · Fatigue or tiredness
    Free text: Psoriasis aggravation, seasonal allergy aggravation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-04-05
    Survey response — day 7, dose 2
    MedDRA: Depressed mood, Depression, Inflammation — Feeling: Fair · Diarrhea
    Free text: Sadness, depression, inflamed toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Survey response — day 28, dose 2
    MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cold like symptoms, ruby nose, cough. No fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-03
    Survey response — day 35, dose 2
    MedDRA: Cough, Rhinorrhoea, Sinus congestion — Feeling: Fair
    Free text: Cough, cold symptoms. Runny nose, dry cough, now sinus congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-10
    Survey response — day 42, dose 2
    MedDRA: Nasopharyngitis, Pain, Paranasal sinus hypersecretion, Sensitive skin — Feeling: Fair
    Free text: Sensitive toes. Can get painful. Cold/sinus drainage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-27
    Survey response — 6 months, dose 2
    MedDRA: Headache, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extreme sinus inflammation and headaches but could be seasonal allergy related (ragweed)
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-23
    Dose 3 — Moderna
  20. 2021-11-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea, Stomatitis — Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Free text: Sniffles and mouth inflammation
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-30
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  22. 2021-12-07
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Hypersomnia — Feeling: Fair
    Free text: General fatigue. Sleeping longer.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-14
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-29Moderna
32021-11-23Moderna No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Electrical current like feeling (nerve) in pinkie toe

2021-04-02

Systemic reaction (other): Psoriasis aggravation

2021-04-03

Systemic reaction (other): Psoriasis aggravation, seasonal allergy aggravation

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Sadness, depression, inflamed toes

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Cold like symptoms, ruby nose, cough. No fever.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Cough, cold symptoms. Runny nose, dry cough, now sinus congestion.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Sensitive toes. Can get painful. Cold/sinus drainage

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Extreme sinus inflammation and headaches but could be seasonal allergy related (ragweed)

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Sniffles and mouth inflammation

Release 10 — day 14, dose 3

2021-12-07

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHypersomnia · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSensitive skin ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDSinusitis · · ✓
SRODepressed mood ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROElectric shock sensation ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPsoriasis ✓ ✓ ✓
SRORhinorrhoea · · ✓
SROStomatitis · · ✓

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