2PS-27874-07515
5 vaccinations
5 coded responses
39 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-09
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia — Feeling: GoodFree text: sharp nerve pain in opposite arm from shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-24
- 2021-03-03
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-11
-
2021-10-30
Dose 3 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia, Rhinorrhoea — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: sinus running and heartburnMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-05
- 2021-11-06
-
2021-11-13
Survey response — day 14, dose 3MedDRA: Tendonitis — 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: Severe Tendinitis of my right elbow requiring steriod injection. Less tendinitis on left elbow.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Report sent to call center — day 14, 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)
- 2021-11-16
- 2021-11-20
- 2021-11-27
- 2021-12-05
- 2021-12-11
- 2022-01-29
-
2022-04-02
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Headache, Malaise, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold or Flu? I did Covid-19 test and it came back negative, but have been sick with running nose, congestion and headaches since the 10th of AprilMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — day 21, dose 4MedDRA: Emergency care, Office visit, Pulmonary congestion, Sinus congestion, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Went to e-care for sinus and lubg congestion where they sent me to hospital for premature multi-ventricle contractions. After numerous test the hospital sent me home with albuterol prescription and a nebulizer.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
-
2022-09-23
Dose 5 — Moderna
- 2022-10-01
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): sharp nerve pain in opposite arm from shot
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): sinus running and heartburn
Release 10 — day 14, dose 3
Symptoms: Severe Tendinitis of my right elbow requiring steriod injection. Less tendinitis on left elbow.
Release 11 — day 14, dose 4
Symptoms: Cold or Flu? I did Covid-19 test and it came back negative, but have been sick with running nose, congestion and headaches since the 10th of April
Release 11 — day 21, dose 4
Symptoms: Went to e-care for sinus and lubg congestion where they sent me to hospital for premature multi-ventricle contractions. After numerous test the hospital sent me home with albuterol prescription and a nebulizer.
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 | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release