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6U4-18317-01429

3 vaccinations 7 coded responses 40 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
431 / OH
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Headache
    Free text: I don't feel the headache is related to the vaccine. I believe it to be weather
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-11
    Dose 2 — Moderna
  14. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Mental impairment — Feeling: Fair · Site: Itching · Fatigue or tiredness
    Free text: My head is foggy, not clear thinking as I normally do.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  19. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-25
    Survey response — day 14, dose 2
    MedDRA: Myalgia, Tendon pain — Feeling: Good
    Free text: Muscle/tendon pain in palm of hand (probably unrelated to vaccine but just being transparent).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Fatigue, Headache, Malaise — Feeling: Fair
    Free text: Headache, tired, foggy. Just didn't feel good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-19
    Dose 3 — Pfizer-BioNTech
  30. 2021-11-19
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  33. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog — Feeling: Good
    Free text: Foggy brain feeling
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-10
    Survey response — day 21, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Bad headache for last 3 days, I do not feel is related to the shot.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-20
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Simply had a common cold. I did two covid tests, both were negative. · Healthcare visit (other): Doctor office
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-20
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  45. 2022-05-23
    Call successful
    Not applicable - Accidental Reporting
  46. 2022-11-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-11Moderna
32021-11-19Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): I don't feel the headache is related to the vaccine. I believe it to be weather

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): My head is foggy, not clear thinking as I normally do.

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Muscle/tendon pain in palm of hand (probably unrelated to vaccine but just being transparent).

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Headache, tired, foggy. Just didn't feel good.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Foggy brain feeling

Release 10 — day 21, dose 3

2021-12-10

Symptoms: Bad headache for last 3 days, I do not feel is related to the shot.

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Simply had a common cold. I did two covid tests, both were negative.
Healthcare visit (other): Doctor office

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
HCVOOffice visit · · ✓
SDBrain fog ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTendon pain ✓ ✓ ✓
SROBrain fog · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMental impairment ✓ ✓ ✓

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

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