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6WE-15627-37103

3 vaccinations 14 coded responses 40 check-ins 14 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
957 / CA
Registered
2021-01-15
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Survey response — day 0, dose 1
    MedDRA: Cold sweat, Hyperhidrosis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Clammy; sweaty palms. Intermittent during first 90 minutes post-jab
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Myalgia — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Myalgia, arthralgia, hypothermic 94.6°F
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Dose 2 — Moderna
  13. 2021-02-12
    Survey response — day 0, dose 2
    MedDRA: Abdominal distension — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Bloating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Vertigo / dizzy spells
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Upper-airway cough syndrome — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea
    Free text: Post Nasal Drip -induced cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Site: Itching · Headache, Muscle or body aches
    Free text: Moderate PND and mild to moderate cough controlled with cetirizine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  19. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Dyspnoea paroxysmal nocturnal — Feeling: Good · Site: Itching · Headache
    Free text: PND + cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-19
    Survey response — day 7, dose 2
    MedDRA: Cough, Dyspnoea paroxysmal nocturnal — Feeling: Good · Site: Itching
    Free text: mild/moderate PND w/ mild-moderate cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-01
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-11-01
    Survey response — day 0, dose 3
    MedDRA: Hypothermia, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: 60-75 min post jab hypothermic sensation
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Night sweats
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  32. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  33. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  34. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  35. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pruritus — Feeling: Good
    Free text: General itchiness everywhere
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  37. 2021-11-15
    Survey response — day 14, dose 3
    MedDRA: Balance disorder, Fall, Radius fracture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Non vaccine related left radial head fracture (<20%) resulting from fall on soft grass due to loss of lateral balance while in motion.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-15
    Report sent to call center — day 14, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  39. 2021-11-16
  40. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-31
    Survey response — 3 months, dose 3
    MedDRA: Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    Free text: Rapid Ag COVID- 12/14/21; Rapid Ag COVID+ 12/15/21. Tested daily thereafter. Rapid Ag COVID- 12/27/21. 100% asymptomatic following Moderna vaccination booster 11/01/21. 14 day isolation completed. Entered 12/15/21, exited 12/29/21.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: When I eat, I frequently develop a runny nose. I've checked with others and they report the same. That's both here in the US as well as in Canada, Australia, and England. That also covers Pfizer/BioNTech, Moderna, and the AstraZeneca vaccine products
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-11-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-11-01Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Clammy; sweaty palms. Intermittent during first 90 minutes post-jab

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Myalgia, arthralgia, hypothermic 94.6°F

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Bloating

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Vertigo / dizzy spells

2021-02-15

Systemic reaction (other): Post Nasal Drip -induced cough

2021-02-16

Systemic reaction (other): Moderate PND and mild to moderate cough controlled with cetirizine

2021-02-18

Systemic reaction (other): PND + cough

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): mild/moderate PND w/ mild-moderate cough

Release 10 — day 0, dose 3

2021-11-01

Systemic reaction (other): 60-75 min post jab hypothermic sensation

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Night sweats

2021-11-07

Systemic reaction (other): General itchiness everywhere

Release 10 — day 14, dose 3

2021-11-15

Symptoms: Non vaccine related left radial head fracture (<20%) resulting from fall on soft grass due to loss of lateral balance while in motion.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Rapid Ag COVID- 12/14/21; Rapid Ag COVID+ 12/15/21. Tested daily thereafter. Rapid Ag COVID- 12/27/21. 100% asymptomatic following Moderna vaccination booster 11/01/21. 14 day isolation completed. Entered 12/15/21, exited 12/29/21.

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: When I eat, I frequently develop a runny nose. I've checked with others and they report the same. That's both here in the US as well as in Canada, Australia, and England. That also covers Pfizer/BioNTech, Moderna, and the AstraZeneca vaccine products cut off by CDC

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
SDBalance disorder · · ✓
SDFall · · ✓
SDQuarantine · · ✓
SDRadius fracture · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SROAbdominal distension ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea paroxysmal nocturnal ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypothermia · · ✓
SROImmediate post-injection reaction · · ✓
SROMyalgia ✓ ✓ ✓
SRONight sweats · · ✓
SROPruritus · · ✓
SROUpper-airway cough syndrome ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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

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