68A-20795-80480
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Hot/sweatyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-10
- 2021-01-11
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-08-06
-
2021-12-03
Dose 3 — Moderna
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Office visit, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Non-localized rash and itching all over the body 2 weeks after booster and still experiencing it. I have 39,000 AU/mL antibodies which is 780x more than the standard range of <50.00 AU/mL · Healthcare visit (other): I visited an allergist and my PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-08
- 2022-02-11
-
2022-03-04
Survey response — 3 months, dose 3MedDRA: Hepatic enzyme increased, Injection site pruritus, Laboratory test abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Itching non-localized to the site of injection and my anti-spike level value is 38,951.4 AU/mL which is 780x greater than the standard value of <50.0 AU/mL. Also have elevated liver enzymes · Healthcare visit (other): Allergist and PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-07
- 2022-03-10
-
2022-06-03
Survey response — 6 months, dose 3MedDRA: Dysgeusia, Parosmia, Rash pruritic, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Foul taste and smell that comes and goes. It smells like something is rotting & others around me can not smell it. It's been here for 4 months and will not go away. Also still itching very badly(non-localized rashes). Taking antihistamine daily.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-06
- 2022-06-06
- 2022-06-06
- 2022-06-09
- 2022-06-09
- 2022-06-09
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Call center
4 call center cases
3 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Hot/sweaty
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Chills
Release 11 — 12 months, dose 2
Symptoms: Non-localized rash and itching all over the body 2 weeks after booster and still experiencing it. I have 39,000 AU/mL antibodies which is 780x more than the standard range of <50.00 AU/mL
Healthcare visit (other): I visited an allergist and my PCP
Release 11 — 3 months, dose 3
Symptoms: Itching non-localized to the site of injection and my anti-spike level value is 38,951.4 AU/mL which is 780x greater than the standard value of <50.0 AU/mL. Also have elevated liver enzymes
Healthcare visit (other): Allergist and PCP
Release 11 — 6 months, dose 3
Symptoms: Foul taste and smell that comes and goes. It smells like something is rotting & others around me can not smell it. It's been here for 4 months and will not go away. Also still itching very badly(non-localized rashes). Taking antihistamine daily.
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 | Office visit | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release