6QG-31854-57184
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 333 / FL
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-13
Dose 1 — Moderna
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2021-01-24
Registered in v-safe
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2021-01-24
Survey response — day 7, dose 1MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lightheaded but without a headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
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2021-02-10
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · FeverFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Vomiting · Be unable to workAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Transplant — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just had a transplant surgery which could contribute to symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: Due to a hair transplant surgery I do believe that that is the reason for my current symptoms as opposed to the vaccine. I wanted to mention as I didnt last time that I did receive this surgery on 2/11/21 just so results are accurately reported.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Road traffic accident, Surgery — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: Got into a car accident today so that could be noted for the symptoms, as well as the surgery I had on 2/11/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 7, dose 2MedDRA: Surgery, Unevaluable event — Feeling: Fair · Headache, Fatigue or tirednessFree text: Surgery on 2/11 is a contributing factor to the symptoms I am feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-05-12
- 2021-08-11
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Lightheaded but without a headache
Release 4 — day 0, dose 2
Systemic reaction (other): Lightheaded
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded
Systemic reaction (other): Just had a transplant surgery which could contribute to symptoms
Systemic reaction (other): Due to a hair transplant surgery I do believe that that is the reason for my current symptoms as opposed to the vaccine. I wanted to mention as I didnt last time that I did receive this surgery on 2/11/21 just so results are accurately reported.
Systemic reaction (other): Got into a car accident today so that could be noted for the symptoms, as well as the surgery I had on 2/11/21
Release 4 — day 7, dose 2
Systemic reaction (other): Surgery on 2/11 is a contributing factor to the symptoms I am feeling.
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Road traffic accident | ✓ | ✓ | ✓ |
| SRO | Surgery | ✓ | ✓ | ✓ |
| SRO | Transplant | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release