262-60400-99345
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Rash at site of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 21, dose 1MedDRA: Nephrolithiasis — Feeling: Poor · Be unable to work, 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, HospitalizationFree text: Unrelated to COVID-19 or to vaccinekidney stone requiring surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-18
Survey response — day 28, dose 1MedDRA: Emergency care, Nephrolithiasis, Renal stone removal, Surgery, Ureteral stent insertion, Ureteral stent removal, Urinary tract infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Kidney stone requiring emergency surgery, ureteral stent placement and subsequent removal; UTI.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-19
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Survey response — day 7, dose 2MedDRA: Arthralgia, Chills, Fatigue, Headache, Myalgia, Nausea, Pain — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I had chills, headache, joint pain, muscle and body aches, fatigue and nausea the day after the injection for 36 hours. This was not previously reported as v-safe did not contact me the day after the injection which was 2/19/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-07-30
- 2021-08-20
-
2021-10-23
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Rash at site of injection.
Release 4 — day 21, dose 1
Symptoms: Unrelated to COVID-19 or to vaccinekidney stone requiring surgery.
Release 4 — day 28, dose 1
Symptoms: Kidney stone requiring emergency surgery, ureteral stent placement and subsequent removal; UTI.
Release 4 — day 7, dose 2
Systemic reaction (other): I had chills, headache, joint pain, muscle and body aches, fatigue and nausea the day after the injection for 36 hours. This was not previously reported as v-safe did not contact me the day after the injection which was 2/19/21.
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 | Emergency care | ✓ | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Renal stone removal | ✓ | · | ✓ |
| SD | Surgery | ○ | ✓ | ○ |
| SD | Ureteral stent insertion | ✓ | · | ✓ |
| SD | Ureteral stent removal | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release