6FC-14642-47394
5 vaccinations
9 coded responses
45 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-11-15
Dose 3 — ModernaCo-administered: Flu
- 2021-11-15
- 2021-11-16
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain, Pyrexia, Self-medication — Feeling: Good · Site: PainFree text: I did have a mild fever and felt tired and achy on November 16, I forgot to report it. I took Tylenol and felt better the next day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
-
2021-12-20
Survey response — day 35, dose 3MedDRA: Asthenia, Chills, Fatigue, Nasopharyngitis, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Moderate cold symptoms and mild fever - congestion, tired, achey, slight chills, weaknessMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Report sent to call center — day 35, 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)
- 2021-12-22
-
2021-12-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-27
Survey response — day 42, dose 3MedDRA: Asthenia, Body temperature increased, COVID-19, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever of 99.3° F, congestion, tired and weak. Symptoms started December 19, 2021. Diagnosed with COVID-19 on December 22nd, 2021MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Survey response — 3 months, dose 3MedDRA: Asthenia, Fatigue, Nasal congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nasal congestion, felt weak and tired for about one day, congestion lasted about 45 days. I took Covid PCR test on 12-18-2021 and was diagnosed positive with COVID-19 around December 22, 2021.MedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Dose 4 — Moderna
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2022-05-16
Survey response — 6 months, dose 3MedDRA: Adverse reaction, Fatigue, Nasal congestion, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild fever 1 day, nasal congestion for 4-5 days, somewhat tired, achy, mild symptoms for 5-6 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
-
2022-10-06
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-06
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Insomnia — Feeling: Good · Site: PainFree text: I'm very tired, but I only slept a few hours last night, so it's probably from that and not the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-16
- 2022-10-20
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2022-10-28
Survey response — day 21, dose 5MedDRA: Dysgeusia, Fatigue, Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Feel like a mild cold is coming on, bad, taste in mouth, very mild, sore throat, tired. I'm on vacation at a big festival, so might've caught a cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
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2022-11-19
Survey response — day 42, dose 5MedDRA: Dysgeusia, Fatigue, Nasopharyngitis, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: FairFree text: Mild cold symptoms, tired, bad taste in mouth, congested, and postnasal dripMedDRA releases: 2024-11 · check-in free text available
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2023-01-07
Survey response — 3 months, dose 5MedDRA: Abdominal discomfort, Asthenia, Fatigue, Nausea — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-15 | Moderna | Flu |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-10-06 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did have a mild fever and felt tired and achy on November 16, I forgot to report it. I took Tylenol and felt better the next day.
Release 10 — day 35, dose 3
Symptoms: Moderate cold symptoms and mild fever - congestion, tired, achey, slight chills, weakness
Release 10 — day 42, dose 3
Symptoms: Fever of 99.3° F, congestion, tired and weak. Symptoms started December 19, 2021. Diagnosed with COVID-19 on December 22nd, 2021
Release 11 — 3 months, dose 3
Symptoms: Nasal congestion, felt weak and tired for about one day, congestion lasted about 45 days. I took Covid PCR test on 12-18-2021 and was diagnosed positive with COVID-19 around December 22, 2021.
Release 11 — 6 months, dose 3
Symptoms: Mild fever 1 day, nasal congestion for 4-5 days, somewhat tired, achy, mild symptoms for 5-6 days
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I'm very tired, but I only slept a few hours last night, so it's probably from that and not the vaccine
Release 12 — day 21, dose 5
Symptoms: Feel like a mild cold is coming on, bad, taste in mouth, very mild, sore throat, tired. I'm on vacation at a big festival, so might've caught a cold.
Release 12 — day 42, dose 5
Symptoms: Mild cold symptoms, tired, bad taste in mouth, congested, and postnasal drip
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 | Abdominal discomfort | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release