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6V9-14696-17505

5 vaccinations 23 coded responses 42 check-ins 22 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
017 / MA
Registered
2021-04-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-18
    Registered in v-safe
  2. 2021-04-18
    Dose 1 — Moderna
  3. 2021-04-18
    Survey response — day 0, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen glands in my neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Muscle cramping in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sneezing — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Muscle or body aches
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-25
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Headache, Muscle or body aches
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-10
    Survey response — day 21, dose 1
    MedDRA: Hypersensitivity, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Allergy and cold nasal congestion and sneezing and clear runny nose for 5 days; but its basically gone away now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Dose 2 — Moderna
  13. 2021-05-13
    Survey response — day 0, dose 2
    MedDRA: Eye pruritus, Headache, Paranasal sinus discomfort, Pre-existing disease, Rhinorrhoea, Sinusitis — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Allergy came back and severe sinus infection itching eyes sinus pressure clear running nasal drips and headaches from it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Clear Nasal drip, allergies and sneezing , sinus pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea, Sinus congestion — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Constantly clear nasal drips and allergies sinus congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Sinus disorder — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sinus and allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Paranasal sinus discomfort — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sinus pressure allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Sinusitis — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sinus infection and allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus disorder — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sinuses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-20
    Survey response — day 7, dose 2
    MedDRA: Sinus disorder — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Sinuses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-12
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Office visit, Pain, Pre-existing disease, Rhinorrhoea, Sneezing — 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 consultation
    Free text: Symptoms: Body aches, especially in my back; and running nose and what feels like allergies and some sneezing. · Healthcare visit (other): Visit my primary care physician
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-12
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-20
  29. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Soar throat allergies cold flu like symptoms
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-08
    Dose 3 — Moderna
  31. 2022-04-20
    Dose 4 — Moderna
  32. 2022-05-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-07-20
    Survey response — 3 months, dose 4
    MedDRA: Concussion, Eye pain, Facial pain, Headache, Oropharyngeal pain, Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to work or attend school
    Free text: Sinus, allergy, concussion like phenomenon, i.e., throbbing migrating headache on left side only of the head, face, eye, nose and throat only; possible shingles flare up? Because that was where the original shingles attack surfaced 24 years ago.1wk.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-07
    Dose 5 — Moderna
  40. 2022-10-07
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  42. 2022-10-10
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good
    Free text: Mild allergy sinus/nasal
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-10-13
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  44. 2022-10-16
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  45. 2022-10-21
    Survey response — day 14, dose 5
    MedDRA: Catarrh, Nasal congestion, Sputum discoloured — Feeling: Good
    Free text: Nasal congestion; phlegm buildup with bright yellow in color.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-31
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-11-04
    Survey response — day 28, dose 5
    MedDRA: Dry mouth, Lip dry, Sneezing — Feeling: Good
    Free text: Sneezing spells throughout the day and dry mouth and lips
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-11-11
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-11-18
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-01-06
    Survey response — 3 months, dose 5
    MedDRA: Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Productive cough, Sinusitis — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna
22021-05-13Moderna
32021-12-08Moderna No
42022-04-20Moderna No
52022-10-07Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-18

Systemic reaction (other): Swollen glands in my neck

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): None

2021-04-21

Systemic reaction (other): Muscle cramping in legs

2021-04-22

Systemic reaction (other): Sneezing

2021-04-23

Systemic reaction (other): Runny nose

2021-04-24

Systemic reaction (other): None

Release 7 — day 7, dose 1

2021-04-25

Systemic reaction (other): Runny nose

Release 8 — day 21, dose 1

2021-05-10

Symptoms: Allergy and cold nasal congestion and sneezing and clear runny nose for 5 days; but its basically gone away now.

Release 8 — day 0, dose 2

2021-05-13

Systemic reaction (other): Allergy came back and severe sinus infection itching eyes sinus pressure clear running nasal drips and headaches from it

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Clear Nasal drip, allergies and sneezing , sinus pressure

2021-05-15

Systemic reaction (other): Constantly clear nasal drips and allergies sinus congestion

2021-05-16

Systemic reaction (other): Sinus and allergies

2021-05-17

Systemic reaction (other): Sinus pressure allergies

2021-05-18

Systemic reaction (other): Sinus infection and allergies

2021-05-19

Systemic reaction (other): Sinuses

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): Sinuses

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Body aches, especially in my back; and running nose and what feels like allergies and some sneezing.
Healthcare visit (other): Visit my primary care physician

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Soar throat allergies cold flu like symptoms

Release 12 — 3 months, dose 4

2022-07-20

Symptoms: Sinus, allergy, concussion like phenomenon, i.e., throbbing migrating headache on left side only of the head, face, eye, nose and throat only; possible shingles flare up? Because that was where the original shingles attack surfaced 24 years ago.1wk. cut off by CDC

Release 12 — days 1–6 daily, dose 5

2022-10-10

Systemic reaction (other): Mild allergy sinus/nasal

Release 12 — day 14, dose 5

2022-10-21

Symptoms: Nasal congestion; phlegm buildup with bright yellow in color.

Release 12 — day 28, dose 5

2022-11-04

Symptoms: Sneezing spells throughout the day and dry mouth and lips

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 ✓ · ✓
SDBack pain ✓ · ✓
SDCatarrh · · ✓
SDConcussion · · ✓
SDDry mouth · · ✓
SDEye pain · · ✓
SDFacial pain · · ✓
SDHeadache · · ✓
SDHypersensitivity ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDLip dry · · ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPain ✓ · ✓
SDPre-existing disease ✓ · ✓
SDProductive cough · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinusitis · · ✓
SDSneezing ✓ ✓ ✓
SDSputum discoloured · · ✓
SDUnevaluable event · · ✓
SROEye pruritus ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓
SROSinusitis ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROUnevaluable event · · ✓

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

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