6L7-90262-81056
4 vaccinations
10 coded responses
45 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 287 / NC
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Depressed mood — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I'm depressedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: FairFree text: Usual tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Depression — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: depressedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-22
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2021-08-20
Survey response — 6 months, dose 2MedDRA: Aortic aneurysm, Cholelithiasis, Lung disorder, Office visit — Feeling: Good · 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: Symptoms: Abdominal aortic aneurysm,Gallbladder stone, Monitoring two spots in my right lung,Waiting for renolasix scan as my right kidney is slightly good swollen · Healthcare visit (other): Office visit with pulmonologist and urologist, PET and CT scansMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: It's been only 4 hours since my third Moderna vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Saliva altered — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Sweet taste salivaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Self-medication — Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Very weak but not as bad as yesterday when i went to bed at 7:15 pm and slept on and off. I took 2 Tylenol at midnightMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tirednessFree text: Feeling betterMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-14
Dose 4 — Moderna
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Feeling abnormal, Pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Just tired. The 24 hours after the vaccination was really awful, every cell in my body ached a lot more than previous shots. Would changing from Moderna to other make me feel less sick?MedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-21
Health check-in — day 7, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
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2022-07-14
Survey response — 3 months, dose 4MedDRA: Asthenia, Decreased appetite, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel weak and achy, i do not have good appetite and my cooking is not very goodMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I'm depressed
Release 3 — day 7, dose 1
Systemic reaction (other): Usual tiredness
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): depressed
Release 9 — 6 months, dose 2
Symptoms: Abdominal aortic aneurysm,Gallbladder stone, Monitoring two spots in my right lung,Waiting for renolasix scan as my right kidney is slightly good swollen
Healthcare visit (other): Office visit with pulmonologist and urologist, PET and CT scans
Release 10 — day 0, dose 3
Systemic reaction (other): It's been only 4 hours since my third Moderna vaccine
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sweet taste saliva
Systemic reaction (other): Very weak but not as bad as yesterday when i went to bed at 7:15 pm and slept on and off. I took 2 Tylenol at midnight
Systemic reaction (other): Feeling better
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Just tired. The 24 hours after the vaccination was really awful, every cell in my body ached a lot more than previous shots. Would changing from Moderna to other make me feel less sick?
Release 12 — 3 months, dose 4
Symptoms: I feel weak and achy, i do not have good appetite and my cooking is not very good
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 | Aortic aneurysm | ✓ | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cholelithiasis | ✓ | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Lung disorder | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Saliva altered | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release