3KH-88008-13688
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 338 / FL
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain is where shot given; no big deal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-18
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Oral candidiasis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed thrush of throat and vocal cords per doctor. It may be related to the 3 antibiotics I have been on since Nov 1, 2020. · Healthcare visit (other): Called ENT office for apptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
- 2021-04-23
-
2021-06-09
Survey response — 3 months, dose 2MedDRA: Memory impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Short-term memory issues. The cause could be the treatment for a lung infection that begain Aug 5, 2020. I have been on Clarithromycin in high doses along with 2 other antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint pain in hips. Knees, wrist nd lower back. · Healthcare visit (other): In doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain is where shot given; no big deal.
Release 6 — day 21, dose 2
Symptoms: Sore throat
Release 7 — day 28, dose 2
Symptoms: Developed thrush of throat and vocal cords per doctor. It may be related to the 3 antibiotics I have been on since Nov 1, 2020.
Healthcare visit (other): Called ENT office for appt
Release 9 — 3 months, dose 2
Symptoms: Short-term memory issues. The cause could be the treatment for a lung infection that begain Aug 5, 2020. I have been on Clarithromycin in high doses along with 2 other antibiotics.
Release 9 — 6 months, dose 2
Symptoms: Joint pain in hips. Knees, wrist nd lower back.
Healthcare visit (other): In doctor's office
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 | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Oral candidiasis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release