3A7-26004-05387
4 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 210 / MD
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
-
2021-03-27
Dose 2 — Moderna
-
2021-03-27
Survey response — day 0, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Slight very slight soreness in throat..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Ageusia, SARS-CoV-2 test negative — Feeling: GoodFree text: It seemed as though Id lost some of my sense of taste. I went and took a COVID19 test and results negative and taste returned with 5 hours of onset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-25
-
2021-11-09
Dose 3 — Moderna
-
2022-03-27
Survey response — 12 months, dose 2MedDRA: Heart rate increased, SARS-CoV-2 test positive — Feeling: GoodFree text: Dec 29, 2021 tested positive for COVID-19.. since then have had some accelerated heart rate-stabilizing.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Dose 4 — Moderna
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
-
2022-07-09
Survey response — 3 months, dose 4MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Health condition is some inflammation in the right hip joint. Condition existed prior to getting the vaccine. It's an osteoarthritis condition. · Healthcare visit (other): Visit to the spine and orthopedic physiciansMedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-07-12
Call successfulDoes not wish to fill out VAERS report
- 2022-10-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Slight very slight soreness in throat..
Release 9 — 3 months, dose 2
Symptoms: It seemed as though Id lost some of my sense of taste. I went and took a COVID19 test and results negative and taste returned with 5 hours of onset.
Release 11 — 12 months, dose 2
Symptoms: Dec 29, 2021 tested positive for COVID-19.. since then have had some accelerated heart rate-stabilizing.
Release 12 — 3 months, dose 4
Symptoms: Health condition is some inflammation in the right hip joint. Condition existed prior to getting the vaccine. It's an osteoarthritis condition.
Healthcare visit (other): Visit to the spine and orthopedic physicians
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release