5RU-33443-35630
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 800 / CO
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Tooth infection — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I have a tooth infection from a root canal that I had on 3/24/2021 a day before my first vaccination shot. · Healthcare visit (other): I asked my dentist, and he prescribed me an antibiotic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Root canal infection — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am on an antibiotic for a root canal infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
- 2021-04-24
- 2021-04-25
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-11-15
Dose 3 — Moderna
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-18
Dose 4 — Moderna
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Peptic ulcer, Pre-existing disease — Feeling: Good · Joint pains, Abdominal painFree text: I have arthritis and am being treated for a peptic ulcerMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Nausea, Vomiting, Abdominal painAdult check-in
- 2022-04-24
-
2022-04-25
Health check-in — day 7, dose 4Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-02
Survey response — day 14, dose 4MedDRA: Body temperature increased, Chills, Poor quality sleep — Feeling: FairFree text: My sleep has been fair to poor on my Fitbit below good and excellent. Bad sleep causing bad sleep and chills with low temperature.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — day 21, dose 4MedDRA: Arthralgia, Fatigue, Injection site pain, Mental fatigue — Feeling: Good · Be unable to work or attend schoolFree text: Achy joints, could be anything. Gost pain right arm at shot 1-3 moderna, and pneumonia shot. In past months mental and physical fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I have a tooth infection from a root canal that I had on 3/24/2021 a day before my first vaccination shot.
Healthcare visit (other): I asked my dentist, and he prescribed me an antibiotic.
Systemic reaction (other): I am on an antibiotic for a root canal infection.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have arthritis and am being treated for a peptic ulcer
Release 11 — day 14, dose 4
Symptoms: My sleep has been fair to poor on my Fitbit below good and excellent. Bad sleep causing bad sleep and chills with low temperature.
Release 11 — day 21, dose 4
Symptoms: Achy joints, could be anything. Gost pain right arm at shot 1-3 moderna, and pneumonia shot. In past months mental and physical fatigue.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Mental fatigue | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SRO | Peptic ulcer | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Root canal infection | ✓ | ✓ | ✓ |
| SRO | Tooth infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release