62J-25856-20660
4 vaccinations
8 coded responses
38 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 211 / MD
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Tiredness last night ( + 8 hours after shot. )MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort — Feeling: FairFree text: Stuffy head - but could be seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
-
2021-05-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Circadian rhythm sleep disorder — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Brain fog, fuzziness, kinda like a bad case of jet lag or hangoverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-08
- 2021-05-10
- 2021-05-11
- 2021-05-13
- 2021-05-19
- 2021-05-28
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
-
2021-12-01
Dose 3 — Moderna
-
2021-12-10
Survey response — day 7, dose 3MedDRA: Blood pressure increased — Feeling: GoodFree text: I seem to have an elevated blood pressure , not critical and may not be associated but generally 10 points higher both sys and dayMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 28, dose 3MedDRA: Fatigue, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: FairFree text: Bad cold , sneezy stuffy running nose. Some fatigue. Wife tested positive, no tests available in this area.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-14
-
2022-03-02
Survey response — 3 months, dose 3MedDRA: Blood pressure increased — Feeling: GoodFree text: Slightly elevated blood pressure- may be unrelated.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
-
2022-06-12
Dose 4 — Moderna
- 2022-06-24
- 2022-06-26
- 2022-07-03
- 2022-07-10
-
2022-07-19
Survey response — day 35, dose 4MedDRA: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sputum discoloured — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Green sputum. Nasal drain , chest congestion. Energy level ok, no fever, no other issues. Negative Covid rapid test. Sinus infection gone bad ?MedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-20
- 2022-07-24
-
2023-06-15
Survey response — 12 months, dose 4MedDRA: Plantar fasciitis, Weight increased — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-06-12 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Tiredness last night ( + 8 hours after shot. )
Systemic reaction (other): Stuffy head - but could be seasonal allergies
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog, fuzziness, kinda like a bad case of jet lag or hangover
Release 10 — day 7, dose 3
Systemic reaction (other): I seem to have an elevated blood pressure , not critical and may not be associated but generally 10 points higher both sys and day
Release 10 — day 28, dose 3
Symptoms: Bad cold , sneezy stuffy running nose. Some fatigue. Wife tested positive, no tests available in this area.
Release 11 — 3 months, dose 3
Symptoms: Slightly elevated blood pressure- may be unrelated.
Release 12 — day 35, dose 4
Symptoms: Green sputum. Nasal drain , chest congestion. Energy level ok, no fever, no other issues. Negative Covid rapid test. Sinus infection gone bad ?
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 | Blood pressure increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Plantar fasciitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Circadian rhythm sleep disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release