262-33574-91969
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 193 / PA
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-28
Registered in v-safe
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention, Insomnia — Feeling: Fair · Fatigue or tirednessFree text: Little trouble focusing this morning, but had a rough time sleeping last night.. Fine this afternoon. Exercised today and feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 1MedDRA: Micturition urgency, Office visit, Urinary tract pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The last 4 days feels like i need to pee when i dont. Some pain when i urinate. Went to the doctor yesterday to get a culture. Waiting on the results. Currently on a antibiotic. · Healthcare visit (other): Personal doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessFree text: Chills and sweating for 10 mins in the morning after breakfast then that was it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Acne — Feeling: GoodFree text: Got a pimple on my cheekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Possibly some achy knees.. doesnt stop me from doing anything. I do exercise so it is hard to tell what is what.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-27
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Little trouble focusing this morning, but had a rough time sleeping last night.. Fine this afternoon. Exercised today and feel fine.
Release 5 — day 14, dose 1
Symptoms: The last 4 days feels like i need to pee when i dont. Some pain when i urinate. Went to the doctor yesterday to get a culture. Waiting on the results. Currently on a antibiotic.
Healthcare visit (other): Personal doctor
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Chills and sweating for 10 mins in the morning after breakfast then that was it.
Systemic reaction (other): Got a pimple on my cheek
Release 7 — day 14, dose 2
Symptoms: Possibly some achy knees.. doesnt stop me from doing anything. I do exercise so it is hard to tell what is what.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Micturition urgency | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Urinary tract pain | ✓ | ✓ | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release