3GR-13276-90750
5 vaccinations
11 coded responses
48 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 708 / LA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Erythema, Pyrexia, SARS-CoV-2 test negative, Skin exfoliation, Swelling face — Feeling: Fair · Be unable to work, 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: Fever starting 2/23; swelling and peeling on face starting 2/24. Negative COVID tests on 2/23. Visited doctor on 2/25. He prescribed sulfamethoxazole/trimethoprim for bacterial infection. Fever subsided by 2/27. Redness & swelling now almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
-
2021-03-15
Survey response — day 28, dose 1MedDRA: Rash — Feeling: GoodFree text: Rash on my torso. It lasted 2-3 days, starting about March 9, and gradually went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Dose 2 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-25
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Erythema — Feeling: GoodFree text: Slight redness on left side of faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-16
- 2021-09-15
-
2021-11-30
Dose 3 — Moderna
- 2021-12-30
- 2022-01-03
- 2022-03-16
-
2022-05-17
Dose 4 — Moderna
-
2022-05-19
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia — Feeling: Fair · FeverFree text: Slight feverish feelingMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: I have a cold. I've had two negative covid-19 tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion, Nasopharyngitis — Feeling: FairFree text: Mild cold symptoms- nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Survey response — day 7, dose 4MedDRA: Nasal congestion — Feeling: GoodFree text: Slight nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-08-18
-
2022-10-22
Dose 5 — Moderna
- 2022-10-24
- 2022-10-26
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2022-12-03
-
2023-01-23
Survey response — 3 months, dose 5MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-23
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-05-17 | Moderna | No |
| 5 | 2022-10-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat
Release 4 — day 14, dose 1
Symptoms: Fever starting 2/23; swelling and peeling on face starting 2/24. Negative COVID tests on 2/23. Visited doctor on 2/25. He prescribed sulfamethoxazole/trimethoprim for bacterial infection. Fever subsided by 2/27. Redness & swelling now almost gone.
Release 5 — day 28, dose 1
Symptoms: Rash on my torso. It lasted 2-3 days, starting about March 9, and gradually went away.
Release 6 — day 14, dose 2
Symptoms: Slight redness on left side of face
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Slight feverish feeling
Systemic reaction (other): I have a cold. I've had two negative covid-19 tests.
Systemic reaction (other): Mild cold symptoms- nasal congestion
Systemic reaction (other): Nasal congestion
Release 11 — day 7, dose 4
Systemic reaction (other): Slight nasal 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 | COVID-19 | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release