2YC-35774-53636
4 vaccinations
3 coded responses
40 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 973 / OR
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-15
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Nausea — Feeling: GoodFree text: It has been quite some time since my last report. I did experience what I thought was food poisoning, nausea and diarrhea about a month ago. Then, out of the blue (but after eating a lot of blackberries on a walk) I had nausea and diarrhea.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Injection site pain — Feeling: Good · DiarrheaFree text: More a loose bowel. Unknown if it relates to immunization. I have had no sins other than slight tenderness when I press on injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-07
Dose 4 — Moderna
- 2022-04-16
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
-
2022-10-06
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · 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: July 23, 2022, contracted COVID-19.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-07
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: It has been quite some time since my last report. I did experience what I thought was food poisoning, nausea and diarrhea about a month ago. Then, out of the blue (but after eating a lot of blackberries on a walk) I had nausea and diarrhea.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): More a loose bowel. Unknown if it relates to immunization. I have had no sins other than slight tenderness when I press on injection site.
Release 12 — 6 months, dose 4
Symptoms: July 23, 2022, contracted COVID-19.
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release