6B4-77983-88752
3 vaccinations
12 coded responses
35 check-ins
12 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 575 / SD
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
- 2021-02-11
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Motion sickness — Feeling: FairFree text: Motion sicknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2022-01-19
Dose 3 — Moderna
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2022-01-20
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Fair · Site: Pain · HeadacheFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: Fair · HeadacheFree text: Chest pain and tightnessMedDRA releases: 2024-11 · check-in free text available
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2022-01-22
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Abdominal painFree text: Chest tightness/painMedDRA releases: 2024-11 · check-in free text available
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2022-01-23
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Joint painsFree text: Chest tightness/ painMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesFree text: Chest tightness and painMedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: FairFree text: Chest pain/tightnessMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Survey response — day 7, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: FairFree text: Chest pain and chest tightnessMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Survey response — day 14, dose 3MedDRA: Chest discomfort, Chest pain, Immediate post-injection reaction — Feeling: FairFree text: Chest pain/tightness, which first started 30 minutes after the shot, comes and goes.MedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Survey response — day 21, dose 3MedDRA: Chest discomfort, Chest pain, Dyspnoea, Ear pain, Ear swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Swollen and painful ear; chest pain/tightness; difficulty breathingMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — day 28, dose 3MedDRA: Arthralgia, Chest pain, Dyspnoea, Ear swelling, Hot flush — Feeling: GoodFree text: Swollen ear, hot flashes, joint pain, chest pain, difficulty breathingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-23
- 2022-03-02
-
2022-04-20
Survey response — 3 months, dose 3MedDRA: Chest discomfort, Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, tightness of chest, coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2022-01-19 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Motion sickness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain and tightness
Systemic reaction (other): Chest tightness/pain
Systemic reaction (other): Chest tightness/ pain
Systemic reaction (other): Chest tightness and pain
Systemic reaction (other): Chest pain/tightness
Release 11 — day 7, dose 3
Systemic reaction (other): Chest pain and chest tightness
Release 11 — day 14, dose 3
Symptoms: Chest pain/tightness, which first started 30 minutes after the shot, comes and goes.
Release 11 — day 21, dose 3
Symptoms: Swollen and painful ear; chest pain/tightness; difficulty breathing
Release 11 — day 28, dose 3
Symptoms: Swollen ear, hot flashes, joint pain, chest pain, difficulty breathing
Release 11 — 3 months, dose 3
Symptoms: Sore throat, runny nose, tightness of chest, cough
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 | Arthralgia | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Ear swelling | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Immediate post-injection reaction | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Motion sickness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release