69H-26737-12071
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 017 / MA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-09
Dose 1 — Moderna
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2021-02-06
Dose 2 — Moderna
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2021-02-07
Registered in v-safe
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-02-09
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Restlessness, Tachycardia — Feeling: Fair · Site: Redness · Fever · Headache, Fatigue or tiredness, NauseaFree text: Dizziness, tachycardia, general unsettled feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-20
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2021-02-27
Survey response — day 21, dose 2MedDRA: Fatigue, Injection site pain — Feeling: FairFree text: Arm pain last night where I got vaccine and exhaustion for 2-3 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: On and off significant fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 35, dose 2MedDRA: Chest discomfort, Injection site pain, Muscle discomfort, Pain, Pain in extremity — Feeling: FairFree text: Injection arm pain yesterday and day before on L deltoid - strange. No reaction but dull arm pain with some radiation to metacarpal and carpal area. Also some general muscular discomfort. Today for perhaps only a few seconds, had some chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-07
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Pain, Respiratory symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Major cold and upper respiratory symptoms and body achesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-24
- 2021-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, tachycardia, general unsettled feeling
Release 4 — day 21, dose 2
Symptoms: Arm pain last night where I got vaccine and exhaustion for 2-3 hours
Release 5 — day 28, dose 2
Symptoms: On and off significant fatigue
Release 5 — day 35, dose 2
Symptoms: Injection arm pain yesterday and day before on L deltoid - strange. No reaction but dull arm pain with some radiation to metacarpal and carpal area. Also some general muscular discomfort. Today for perhaps only a few seconds, had some chest tightness cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Major cold and upper respiratory symptoms and body aches
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Muscle discomfort | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release