2NQ-62665-62160
4 vaccinations
4 coded responses
19 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 079 / NJ
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Condition aggravated, Pain, Pre-existing disease, Pruritus, Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Itching on my right leg and on my back. Runny nose. Pain on my left knee and left index toe nail (a hammer toe, but the pain was a bit more clear, distinct and intense than usual).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Diarrhea, Abdominal painFree text: Runny nose, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-05
- 2021-04-11
-
2021-04-23
Dose 2 — Moderna
- 2021-06-19
- 2021-09-18
-
2021-11-23
Dose 3 — Moderna
- 2022-04-23
-
2022-09-23
Dose 4 — Moderna
- 2022-09-29
- 2022-09-30
-
2022-10-09
Survey response — day 14, dose 4MedDRA: Adverse drug reaction, Amoebiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I catched enteramoeba histolytica in a trip outside the USA. The metrodinazole treatment has me feeling a bit weak and nauseous.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-14
-
2022-10-23
Survey response — day 28, dose 4MedDRA: Adverse drug reaction, Amoebiasis, Gastrointestinal disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Unrelated to the vaccine, I was detected gastrointestinal amoebiasis that had caused GI symptoms and am now in treatment with antibiotics, that have their own side effects.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-23 | Moderna | No |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Itching on my right leg and on my back. Runny nose. Pain on my left knee and left index toe nail (a hammer toe, but the pain was a bit more clear, distinct and intense than usual).
Systemic reaction (other): Runny nose, mild
Release 12 — day 14, dose 4
Symptoms: I catched enteramoeba histolytica in a trip outside the USA. The metrodinazole treatment has me feeling a bit weak and nauseous.
Release 12 — day 28, dose 4
Symptoms: Unrelated to the vaccine, I was detected gastrointestinal amoebiasis that had caused GI symptoms and am now in treatment with antibiotics, that have their own side effects.
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 | Adverse drug reaction | · | · | ✓ |
| SD | Amoebiasis | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release