33G-12097-75131
4 vaccinations
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 908 / CA
- Registered
- 2022-05-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-24
Dose 2 — Moderna
-
2021-11-04
Dose 3 — Moderna
-
2022-05-25
Dose 4 — Moderna
-
2022-05-31
Registered in v-safe
- 2022-05-31
- 2022-06-01
- 2022-06-08
-
2022-06-17
Survey response — day 21, dose 4MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Self-medication — Feeling: FairFree text: Seem to have caught a cold and have nasal congestion, despite normal course of Sudafed and Allegra for allergies, and slight sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Survey response — day 28, dose 4MedDRA: Haemorrhoids, Pain, Pre-existing disease, Pruritus — Feeling: FairFree text: Hemorrhoid flare up. Pain, soreness and itchiness.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Survey response — day 35, dose 4MedDRA: Condition aggravated, Erythema, Localised infection, Nail bed infection, Nasal congestion, Nasopharyngitis, Onychalgia, Pre-existing disease, Self-medication — Feeling: FairFree text: Infected thumb. Out of nowhere cuticle area got sore, red and pus filled. Still experiencing minor cold symptoms with stuffy nose, despite Sudafed and Allegra use. Also still experiencing what seems to be hemmoroid flare up.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
- 2022-08-24
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2022-11-23
Survey response — 6 months, dose 4MedDRA: Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest and head congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-25
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | No |
| 2 | 2021-02-24 | Moderna | No |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 21, dose 4
Symptoms: Seem to have caught a cold and have nasal congestion, despite normal course of Sudafed and Allegra for allergies, and slight sore throat.
Release 12 — day 28, dose 4
Symptoms: Hemorrhoid flare up. Pain, soreness and itchiness.
Release 12 — day 35, dose 4
Symptoms: Infected thumb. Out of nowhere cuticle area got sore, red and pus filled. Still experiencing minor cold symptoms with stuffy nose, despite Sudafed and Allegra use. Also still experiencing what seems to be hemmoroid flare up.
Release 12 — 6 months, dose 4
Symptoms: Chest and head congestion
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 | Condition aggravated | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Haemorrhoids | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Nail bed infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Onychalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release