2H5-22339-50328
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 018 / MA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Prostatic operation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Prostrate surgery, todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Surgery — Feeling: Fair · Fatigue or tirednessFree text: I have had prostrate surgery 3 days after receiving my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-17
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: ItchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — day 7, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint painsFree text: Knee joint pain pre-existingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: Ive been experiencing diarrhea this past week, Ive taken Imodium and its beginning to subside.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 21, dose 2MedDRA: Diarrhoea, Gastrointestinal pain, Office visit, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have gastrointestinal cramping and diarrhea on and off, spoke to my primary care physician and I was put on a food plan & Gas-X. Bear in mind, Ive recently have has prostrate surgery (benign) I am managing it slowly but surelyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-10-31
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-02-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Prostrate surgery, today
Systemic reaction (other): I have had prostrate surgery 3 days after receiving my shot
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy
Release 6 — day 7, dose 2
Systemic reaction (other): Knee joint pain pre-existing
Release 7 — day 14, dose 2
Symptoms: Ive been experiencing diarrhea this past week, Ive taken Imodium and its beginning to subside.
Release 7 — day 21, dose 2
Symptoms: I have gastrointestinal cramping and diarrhea on and off, spoke to my primary care physician and I was put on a food plan & Gas-X. Bear in mind, Ive recently have has prostrate surgery (benign) I am managing it slowly but surely
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Prostatic operation | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Surgery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release