38X-69931-41688
5 vaccinations
10 coded responses
60 check-ins
9 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-14
Dose 2 — Moderna
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
-
2021-03-07
Survey response — day 21, dose 2MedDRA: Asthenia, Insomnia, Paranasal sinus discomfort, Respiratory tract congestion, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Probably allergies. Sinus pressure; mild congestion; itchy throat; low energy. Trouble sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-22
- 2021-03-29
-
2021-05-16
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Aortic valve replacement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-15
-
2021-10-11
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2022-01-10
- 2022-02-11
-
2022-02-11
Callback requested for06:15PM ET
-
2022-02-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-11
-
2022-06-07
Dose 4 — Moderna
-
2022-06-07
Survey response — day 0, dose 4MedDRA: Back pain — Feeling: GoodFree text: Sore back this a.m.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — days 1–6 daily, dose 4MedDRA: Neuropathy peripheral, Pre-existing disease — Feeling: Good · Site: PainFree text: I have foot neuropathy every day. It was much worse that usual last night, though I didn't do anything different yesterday (other than the vaccine).MedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
- 2022-06-10
- 2022-06-11
-
2022-06-12
Survey response — days 1–6 daily, dose 4MedDRA: Eye pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Painful eyes today. Likely caused by walking dog last night when it was very windy. Can't tell cause for sure, so I thought I'd report it.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-13
- 2022-07-19
-
2022-09-06
Survey response — 3 months, dose 4MedDRA: Anaemia, Dysphagia — Feeling: GoodFree text: (1) Anemia; (2) difficulty swallowingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 5 — ModernaCo-administered: Flu
-
2022-09-23
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: GoodFree text: Itchy insect bites.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
- 2022-09-29
-
2022-10-06
Survey response — day 14, dose 5MedDRA: Body temperature increased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Minor fever (100.0 F) yesterday. Odd!MedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — day 21, dose 5MedDRA: Body temperature increased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever. About 100F max. Roughly every other day, or slightly less.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
-
2023-03-23
Survey response — 6 months, dose 5MedDRA: COVID-19, Lethargy, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-23
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
| 4 | 2022-06-07 | Moderna | No |
| 5 | 2022-09-22 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 2
Symptoms: Probably allergies. Sinus pressure; mild congestion; itchy throat; low energy. Trouble sleeping.
Release 8 — 3 months, dose 2
Symptoms: Aortic valve replacement.
Release 11 — day 0, dose 4
Systemic reaction (other): Sore back this a.m.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have foot neuropathy every day. It was much worse that usual last night, though I didn't do anything different yesterday (other than the vaccine).
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Painful eyes today. Likely caused by walking dog last night when it was very windy. Can't tell cause for sure, so I thought I'd report it.
Release 12 — 3 months, dose 4
Symptoms: (1) Anemia; (2) difficulty swallowing
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Itchy insect bites.
Release 12 — day 14, dose 5
Symptoms: Minor fever (100.0 F) yesterday. Odd!
Release 12 — day 21, dose 5
Symptoms: Fever. About 100F max. Roughly every other day, or slightly less.
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 | Anaemia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Neuropathy peripheral | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release