2MS-22682-29057
5 vaccinations
6 coded responses
60 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
- 2021-03-28
- 2021-04-04
-
2021-04-11
Dose 2 — Moderna
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I slept very poorly last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-20
- 2021-04-26
- 2021-05-02
- 2021-05-09
- 2021-05-16
-
2021-05-23
Survey response — day 42, dose 2MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: FairFree text: Back ache, sore knees. Dont know what to attribute it to, but I have a history of back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
-
2021-10-10
Survey response — 6 months, dose 2MedDRA: Emergency care, Hospitalisation, Medical observation, Syncope — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Two incidents of syncope and collapse during stressful exercise in the past three weeks. During hospital stays, cardiac tests were performed with negative results. Now wearing a Holter monitor for 30 days and scheduling a visit with a cardiologist. · Healthcare visit (other): Two visits to the ER resulted in overnight stays for observation.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-10-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-01
Dose 3 — Moderna
-
2021-11-01
Survey response — day 0, dose 3MedDRA: Bradycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Currently experiencing periodic bradycardiaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — day 0, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-02
-
2021-11-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-05-11
Dose 4 — Moderna
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
-
2022-08-10
Survey response — 3 months, dose 4MedDRA: COVID-19, Patient isolation, SARS-CoV-2 test positive — Feeling: GoodFree text: COVID-19 in July. Very mild symptoms. Isolated according to the CDC recommendations. Was positive for 12 days per the home self-test.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Dose 5 — Pfizer-BioNTech
-
2022-11-08
Survey response — days 1–6 daily, dose 5MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: PainFree text: Nasal congestion alternating with a bit of runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-22
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-11-07 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I slept very poorly last night.
Release 8 — day 42, dose 2
Symptoms: Back ache, sore knees. Dont know what to attribute it to, but I have a history of back pain.
Release 10 — 6 months, dose 2
Symptoms: Two incidents of syncope and collapse during stressful exercise in the past three weeks. During hospital stays, cardiac tests were performed with negative results. Now wearing a Holter monitor for 30 days and scheduling a visit with a cardiologist. cut off by CDC
Healthcare visit (other): Two visits to the ER resulted in overnight stays for observation.
Release 10 — day 0, dose 3
Systemic reaction (other): Currently experiencing periodic bradycardia
Release 12 — 3 months, dose 4
Symptoms: COVID-19 in July. Very mild symptoms. Isolated according to the CDC recommendations. Was positive for 12 days per the home self-test.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Nasal congestion alternating with a bit of runny nose
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 | Emergency care | · | · | ✓ |
| HCVO | Medical observation | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Bradycardia | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release