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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

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Lightheaded but without a headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-10
    Dose 2 — Moderna
  7. 2021-02-10
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Fever
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Vomiting · Be unable to work
    Adult check-in
  10. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Transplant — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Just had a transplant surgery which could contribute to symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free 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
  13. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Road traffic accident, Surgery — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free text: Got into a car accident today so that could be noted for the symptoms, as well as the surgery I had on 2/11/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Surgery, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness
    Free 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
  15. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna

Free text

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): Lightheaded but without a headache

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Lightheaded

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Lightheaded

2021-02-14

Systemic reaction (other): Just had a transplant surgery which could contribute to symptoms

2021-02-15

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.

2021-02-16

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

2021-02-17

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRORoad traffic accident ✓ ✓ ✓
SROSurgery ✓ ✓ ✓
SROTransplant ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release