5SS-27777-31934
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-09
Health check-in — day 7, dose 1Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-17
Survey response — day 14, dose 1MedDRA: Tinnitus — Feeling: FairFree text: I dont think its from the shot but Ive been hearing a lot of ringing lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 21, dose 1MedDRA: Asthenia, Feeling abnormal, Feeling cold, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Idk if this was bc of the vaccine or not but Tuesday night I felt this weird sensation and I got very weak. Then after a minute of 2 I felt like coldness go all over my body. I had a major headache and had to lay down, but I felt better the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
- 2021-04-13
- 2021-07-01
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2021-09-28
Survey response — 6 months, dose 2MedDRA: Rash — Feeling: GoodFree text: I dont think this has anything to do with the vaccine, but I think I have/had some sort of psoriasis out break on my scalp and arms that Im dealing with.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 5 — day 14, dose 1
Symptoms: I dont think its from the shot but Ive been hearing a lot of ringing lately.
Release 6 — day 21, dose 1
Symptoms: Idk if this was bc of the vaccine or not but Tuesday night I felt this weird sensation and I got very weak. Then after a minute of 2 I felt like coldness go all over my body. I had a major headache and had to lay down, but I felt better the next day. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: I dont think this has anything to do with the vaccine, but I think I have/had some sort of psoriasis out break on my scalp and arms that Im dealing with.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release