32W-31519-52882
4 vaccinations
5 coded responses
46 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XXG-30919-56351
Child or adolescent in my care · Male · 2021-12-22
8VV-21008-54736
Adult relative or friend · Female · 2022-01-05
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-12-08
Dose 3 — Moderna
- 2021-12-22
- 2021-12-29
- 2022-01-07
- 2022-01-12
- 2022-01-21
- 2022-03-09
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Pain, SwellingFree text: Soreness in the injected areaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
-
2022-05-10
Survey response — day 21, dose 4MedDRA: Cough, Increased viscosity of upper respiratory secretion, Productive cough, Sputum discoloured — Feeling: GoodFree text: Persistent cough with thick yellow or green phelm .MedDRA releases: 2024-11 · check-in free text available
-
2022-05-17
Survey response — day 28, dose 4MedDRA: Cough, Productive cough, Sputum discoloured — Feeling: GoodFree text: Persistent Cough with yellow or green phlegmMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
-
2022-07-19
Survey response — 3 months, dose 4MedDRA: Back pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lower back painMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
-
2022-10-18
Survey response — 6 months, dose 4MedDRA: Cough, Influenza like illness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Coughing , flu like symptoms but all tests were negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-19
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Soreness in the injected area
Release 11 — day 21, dose 4
Symptoms: Persistent cough with thick yellow or green phelm .
Release 11 — day 28, dose 4
Symptoms: Persistent Cough with yellow or green phlegm
Release 12 — 3 months, dose 4
Symptoms: Lower back pain
Release 12 — 6 months, dose 4
Symptoms: Coughing , flu like symptoms but all tests were negative.
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release