2SC-16416-12063
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 378 / TN
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 21, dose 1MedDRA: Gastroenteritis viral, Office visit, SARS-CoV-2 test — 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: Appear to have gotten a stomach virus. Doctor's office did COVID-19 test on Wed (4-7)and expect results in the morning (4-9)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-15
Dose 2 — Moderna
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Bronchitis, Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had bronchitis that was treated with a z-pak and cough syrup through my doctor. Most symptoms cleared within the first week but cough lingered for a total of 3 weeks. The NP didn't think it had any connection to Covid19 or the vaccines. · Healthcare visit (other): Doctor's office visit with NPMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-10-16
- 2022-04-17
-
2022-10-19
Dose 3 — Moderna
-
2022-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Even though shot was in my left arm my left hip feels like i had a shot there. Not really joint pain just pain like someone punched me in the hip. MILDMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling · Joint painsFree text: Injection site feels warmMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Injection site swelling, Injection site warmth — Feeling: Good · Site: Redness · Muscle or body achesFree text: The injection spot still feels warm and a bit swollenMedDRA releases: 2024-11 · check-in free text available
- 2022-10-23
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-24
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2022-10-19 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: Appear to have gotten a stomach virus. Doctor's office did COVID-19 test on Wed (4-7)and expect results in the morning (4-9)
Release 9 — 3 months, dose 2
Symptoms: I had bronchitis that was treated with a z-pak and cough syrup through my doctor. Most symptoms cleared within the first week but cough lingered for a total of 3 weeks. The NP didn't think it had any connection to Covid19 or the vaccines.
Healthcare visit (other): Doctor's office visit with NP
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Even though shot was in my left arm my left hip feels like i had a shot there. Not really joint pain just pain like someone punched me in the hip. MILD
Systemic reaction (other): Injection site feels warm
Systemic reaction (other): The injection spot still feels warm and a bit swollen
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 | ✓ | · | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release