2Q6-14961-61835
5 vaccinations
1 coded response
33 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-09
- 2021-01-10
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care, Loss of personal independence in daily activities — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Yesterday, I could not finish a very normal bike. I could even get up on my bike. Neighbors called 911. They checked me out, and after receiving some water, they said I could be driven home. All then seemed to be better. It might have been dehydration but it was not very warm. I drank lots and lots of water. Today I seem to be fine. Whether thus incident was related to the vaccination, I cannot say. · Healthcare visit (other): 911. They released me after about 30 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-05
- 2021-03-11
- 2021-03-17
- 2021-05-05
- 2021-07-01
- 2021-08-04
-
2021-08-18
Dose 3 — Moderna
-
2022-05-11
Dose 4 — Moderna
- 2022-05-14
- 2022-05-16
- 2022-05-17
- 2022-05-20
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-17
- 2022-06-24
-
2022-09-19
Dose 5 — ModernaCo-administered: Flu
- 2022-11-09
- 2022-12-21
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-19 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, I could not finish a very normal bike. I could even get up on my bike. Neighbors called 911. They checked me out, and after receiving some water, they said I could be driven home. All then seemed to be better. It might have been dehydration but it was not very warm. I drank lots and lots of water. Today I seem to be fine. Whether thus incident was related to the vaccination, I cannot say.
Healthcare visit (other): 911. They released me after about 30 minutes.
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 | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release