2L3-22874-41186
4 vaccinations
5 coded responses
43 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 1 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Ive been feeling hot, but not like a fever (or chills). Not sure if could simply be the weather, as its been warm and humid, even though Im mostly inside in air conditioning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: FairFree text: Still feeling just a little bit on the warm side, but not feverish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-20
Dose 2 — Moderna
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Feverish in early morning then it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-08-19
- 2021-11-18
-
2022-04-11
Dose 3 — Moderna
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 3MedDRA: Gastroenteritis viral, Infection parasitic — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possibly developed an ulcer or have parasites or a stomach bug or some kind.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-12
- 2022-10-10
-
2022-11-13
Dose 4 — Moderna
- 2022-11-13
-
2022-11-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-15
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Went through chills and feverish throughout the night, but the worst has past and I'm doing better now after a long sleep!MedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-11-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-11-20
- 2022-11-27
- 2022-12-04
- 2022-12-11
- 2022-12-18
- 2022-12-25
- 2023-02-12
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-20 | Moderna | |
| 3 | 2022-04-11 | Moderna | No |
| 4 | 2022-11-13 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Ive been feeling hot, but not like a fever (or chills). Not sure if could simply be the weather, as its been warm and humid, even though Im mostly inside in air conditioning.
Systemic reaction (other): Still feeling just a little bit on the warm side, but not feverish.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feverish in early morning then it went away
Release 12 — 3 months, dose 3
Symptoms: Possibly developed an ulcer or have parasites or a stomach bug or some kind.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Went through chills and feverish throughout the night, but the worst has past and I'm doing better now after a long sleep!
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Infection parasitic | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release