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ZCN-59766-51365

5 vaccinations 5 coded responses 33 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
070 / NJ
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Moderna
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Headache
    Free text: I feel similar to the way I do the day after getting a flu shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Headache
    Free text: More slight sinus pressure as opposed to a headache. Overall feel better than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Sinus pressure is main symptom, but this might be allergy related and not anything to do with the vaccine. Ive experienced this feeling before pre-pandemic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sinus congestion — Feeling: Good
    Free text: Sinuses are still a little clogged. Taking Mucinex and fluids. Still confident its allergy related and not from the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-04
    Dose 2 — Moderna
  14. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  19. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  20. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-02
    Survey response — 6 months, dose 2
    MedDRA: Feeling abnormal, Headache, Paranasal sinus discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Had sinus pressure, slight headache and just felt blah a couple of weeks ago.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-02
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2021-11-04
    Dose 3 — Moderna
  31. 2021-11-04
  32. 2021-11-04
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-04-03
    Dose 4 — Moderna
  34. 2022-05-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2022-09-18
    Dose 5 — Moderna
  36. 2022-09-29
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-10-02
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-10-09
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-10-16
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  40. 2022-10-31
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-12-20
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  42. 2023-03-21
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna
32021-11-04Moderna No
42022-04-03Moderna No
52022-09-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-02 Successful
2021-11-04
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): I feel similar to the way I do the day after getting a flu shot.

2021-04-08

Systemic reaction (other): More slight sinus pressure as opposed to a headache. Overall feel better than yesterday.

2021-04-11

Systemic reaction (other): Sinus pressure is main symptom, but this might be allergy related and not anything to do with the vaccine. Ive experienced this feeling before pre-pandemic.

2021-04-12

Systemic reaction (other): Sinuses are still a little clogged. Taking Mucinex and fluids. Still confident its allergy related and not from the shot.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Had sinus pressure, slight headache and just felt blah a couple of weeks ago.

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
SDFeeling abnormal · · ✓
SDHeadache · · ✓
SDParanasal sinus discomfort · · ✓
SROAdverse reaction ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓

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

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