295-31024-00817
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 325 / FL
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sore arm at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Day following second shot fever, joint pain and feeling tired... all lasted 20 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · NoneAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 28, dose 2MedDRA: Body tinea, Office visit, Tinea pedis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The doctor called them ring worms, type of fungus. Whats strange is all of a sudden they appeared, two on my arm, three on my foot and one on my upper thigh... so far. Strange never experienced this before. · Healthcare visit (other): Regular doctors visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Survey response — day 35, dose 2MedDRA: Rash — Feeling: FairFree text: RashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection/cold/persistent cough · Healthcare visit (other): Got tested for Covid/ negative resultMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at injection site.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Day following second shot fever, joint pain and feeling tired... all lasted 20 hours
Release 6 — day 28, dose 2
Symptoms: The doctor called them ring worms, type of fungus. Whats strange is all of a sudden they appeared, two on my arm, three on my foot and one on my upper thigh... so far. Strange never experienced this before.
Healthcare visit (other): Regular doctors visit
Release 6 — day 35, dose 2
Symptoms: Rash
Release 9 — 6 months, dose 2
Symptoms: Sinus infection/cold/persistent cough
Healthcare visit (other): Got tested for Covid/ negative result
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 | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Body tinea | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Tinea pedis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release