2LP-26018-88182
4 vaccinations
6 coded responses
42 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: General runny nose and stuffiness. Pollen counts are high in GEorgia past two days so could be related to seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-03
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-06
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-06-02
- 2021-06-07
- 2021-07-26
-
2021-11-07
Dose 3 — Moderna
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Ear infection, Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny nose and sore throat. Care provider also diagnosed me with an ear infection the morning after my booster shot although my ears weren't/aren't hurting.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Urticaria — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Hives · Healthcare visit (other): Visit to primary care doctor on 11/11/2021. Suspicion is that hives may have been an allergic reaction to recently prescribed Amoxicillin.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-14
- 2021-11-16
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2022-02-06
-
2022-04-26
Dose 4 — Moderna
- 2022-05-08
- 2022-05-08
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
-
2022-07-26
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visitFree text: COVID positive on 6/16/2022. Prescribed Paxlovid and fully recovered.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-26
Report sent to call center — 3 months, dose 4Be 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)
- 2022-07-27
- 2022-07-27
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-25
-
2023-04-28
Survey response — 12 months, dose 4MedDRA: Gallbladder hypofunction — 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 · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-28
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): General runny nose and stuffiness. Pollen counts are high in GEorgia past two days so could be related to seasonal allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose and sore throat. Care provider also diagnosed me with an ear infection the morning after my booster shot although my ears weren't/aren't hurting.
Systemic reaction (other): Congestion
Systemic reaction (other): Hives
Healthcare visit (other): Visit to primary care doctor on 11/11/2021. Suspicion is that hives may have been an allergic reaction to recently prescribed Amoxicillin.
Release 12 — 3 months, dose 4
Symptoms: COVID positive on 6/16/2022. Prescribed Paxlovid and fully recovered.
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 | Urticaria | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gallbladder hypofunction | · | · | ✓ |
| SRO | Ear infection | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release