28G-15809-06864
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 460 / IN
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-18
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Aching in my knee and lower right leg. Based on XRays it was identified as early arthritic symptoms. After a thirty regimen of Meloxicam, it has improved, however the aching in the calf area persists. · Healthcare visit (other): Office visit with MDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Very sore right knee. Was treated with Meloxicam. It took care of it, but. I continue to have frequent soreness in my calf. · Healthcare visit (other): On person doctor visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Cough, Fatigue, SARS-CoV-2 test positive — 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 consultationFree text: Coughing and very tired 1/13/2022. Tested positive for COVID19 on 1/19/2022. Tested negative on 1/26/2022. Continued feeling fired very through 1/30/2022. Still coughing but less frequently and less violently durin p as t few days.MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 8 — 3 months, dose 2
Symptoms: Aching in my knee and lower right leg. Based on XRays it was identified as early arthritic symptoms. After a thirty regimen of Meloxicam, it has improved, however the aching in the calf area persists.
Healthcare visit (other): Office visit with MD
Release 9 — 6 months, dose 2
Symptoms: Very sore right knee. Was treated with Meloxicam. It took care of it, but. I continue to have frequent soreness in my calf.
Healthcare visit (other): On person doctor visit
Release 11 — 12 months, dose 2
Symptoms: Coughing and very tired 1/13/2022. Tested positive for COVID19 on 1/19/2022. Tested negative on 1/26/2022. Continued feeling fired very through 1/30/2022. Still coughing but less frequently and less violently durin p as t few days.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release