6WW-22156-00108
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 067 / CT
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-24
Dose 2 — Moderna
-
2021-04-26
Registered in v-safe
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Redness, Itching · Fever · Headache · Be unable to do your normal daily activitiesFree text: My sumptoms were more severe thr day after but i registered late and cant record them now apparently, on tbis app.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Appetite is still a little slow to return but eating all my meals even if they are small today. Didnt really eat what I would call a meal until late last night. Sleep is drastically affected because of sunday into early moday symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
-
2021-10-27
Dose 3 — ModernaCo-administered: Flu
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Itching · Diarrhea · Be unable to do your normal daily activitiesFree text: The diarrhea was mild and brief, watching for trends.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-05
-
2021-11-10
Survey response — day 14, dose 3MedDRA: Diarrhoea, Injection site pruritus — Feeling: GoodFree text: Mild diarrhea, itching at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-24
- 2021-12-01
- 2021-12-10
- 2022-01-26
- 2022-04-29
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2022-10-27
Survey response — 12 months, dose 3MedDRA: Accident at work, Impaired healing, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visitFree text: I had been diagnosed with type 2 diabetes in March 2021. I had also been injured at work and healing from that just didn't happen for a few reasons. But anout 2 months ago I started a new diabetes drug called Ozempic that has greatly imroved myhealthMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
-
2022-10-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My sumptoms were more severe thr day after but i registered late and cant record them now apparently, on tbis app.
Systemic reaction (other): Appetite is still a little slow to return but eating all my meals even if they are small today. Didnt really eat what I would call a meal until late last night. Sleep is drastically affected because of sunday into early moday symptoms.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The diarrhea was mild and brief, watching for trends.
Release 10 — day 14, dose 3
Symptoms: Mild diarrhea, itching at injection site
Release 12 — 12 months, dose 3
Symptoms: I had been diagnosed with type 2 diabetes in March 2021. I had also been injured at work and healing from that just didn't happen for a few reasons. But anout 2 months ago I started a new diabetes drug called Ozempic that has greatly imroved myhealth 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Accident at work | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release