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3LJ-99635-64015

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
220 / VA
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Survey response — day 28, dose 1
    MedDRA: Abdominal distension, Dyspepsia, Fatigue, Malaise, Office visit, Pyrexia, SARS-CoV-2 test — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: malaise, fatigue, fever max 100.8 (normal 97.5), bloated stomach, heartburn Sat 13 Feb nite thru Mon 15 Feb nite. Dr auth C-19 nose swab test on Mon 1100. Result 'not indicated rptd on wed. Recheded Shot 2 for wed 24 Feb · Healthcare visit (other): Dr ofc driveby c19 test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-18
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-24
    Dose 2 — Moderna
  13. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: sore left arm below inj site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: mild sore arm below inj site- less than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Insomnia, Nausea — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: slight nausea after waking but subsided after eating. fatigue probably due to short night's sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Survey response — day 28, dose 2
    MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair
    Free text: cold-like sore throat, stuffy nose starting last nite. This am normal temp & oxygenation, BP 130/65p52 higher than my normal below 120.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-10
  28. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-24Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 28, dose 1

2021-02-18

Symptoms: malaise, fatigue, fever max 100.8 (normal 97.5), bloated stomach, heartburn Sat 13 Feb nite thru Mon 15 Feb nite. Dr auth C-19 nose swab test on Mon 1100. Result 'not indicated rptd on wed. Recheded Shot 2 for wed 24 Feb
Healthcare visit (other): Dr ofc driveby c19 test

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): sore left arm below inj site

2021-02-26

Systemic reaction (other): mild sore arm below inj site- less than yesterday

2021-03-01

Systemic reaction (other): slight nausea after waking but subsided after eating. fatigue probably due to short night's sleep.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: cold-like sore throat, stuffy nose starting last nite. This am normal temp & oxygenation, BP 130/65p52 higher than my normal below 120.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOSARS-CoV-2 test ✓ ✓ ✓
SDAbdominal distension ✓ ✓ ✓
SDDyspepsia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release