29C-27778-07754
4 vaccinations
4 coded responses
28 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-13
- 2021-02-20
- 2021-02-28
- 2021-03-06
- 2021-03-13
-
2021-03-14
Dose 2 — Moderna
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: A little metallic taste in my mouth all week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — day 7, dose 2MedDRA: Chills, Dysgeusia, Fatigue, Pain — Feeling: GoodFree text: 7 days ago after I got my 2nd dose, I experienced chills, body ache and fatigue for 48 hours afterwards until Tuesday. Ive experienced a minor metallic taste in my mouth during the past 7 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2021-11-07
Dose 3 — Moderna
- 2022-03-14
-
2022-05-25
Dose 4 — Moderna
- 2022-06-03
- 2022-06-08
- 2022-06-16
- 2022-06-22
- 2022-06-29
- 2022-07-06
-
2022-08-24
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I contracted COVID on August 6th. The symptoms were low grade fever, sore throat, runny nose, sneezing, coughing and a light headache.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-08-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-23
Survey response — 6 months, dose 4MedDRA: Unevaluable event, Urinary tract infection — Feeling: Good · 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: Symptoms: UTI · Healthcare visit (other): Blood and urinary analysesMedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-25
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): A little metallic taste in my mouth all week.
Release 6 — day 7, dose 2
Systemic reaction (other): 7 days ago after I got my 2nd dose, I experienced chills, body ache and fatigue for 48 hours afterwards until Tuesday. Ive experienced a minor metallic taste in my mouth during the past 7 days.
Release 12 — 3 months, dose 4
Symptoms: I contracted COVID on August 6th. The symptoms were low grade fever, sore throat, runny nose, sneezing, coughing and a light headache.
Release 12 — 6 months, dose 4
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 | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release