3LP-19462-79161
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 997 / AK
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesFree text: Bedtime diarrhea I dont usually get that in any circumstancesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Fatigue, Injection site discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: The injection site does not exactly feel comfortable. I am quite tired and rundown despite a good nights sleep. Its a noticeable challenge and effort to breathe, I bet like I ran a quarter of a mile and I dont have the energy to breathe the oxygen into my screaming cells.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Arthralgia, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Arm and leg joints still sore. Right knee joint uncomfortable enough that I requested therapy. Pain is only moderate. · Healthcare visit (other): Physical therapy prescribed by my primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
- 2022-01-18
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Bedtime diarrhea I dont usually get that in any circumstances
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The injection site does not exactly feel comfortable. I am quite tired and rundown despite a good nights sleep. Its a noticeable challenge and effort to breathe, I bet like I ran a quarter of a mile and I dont have the energy to breathe the oxygen into my screaming cells.
Release 6 — day 21, dose 2
Symptoms: Arm and leg joints still sore. Right knee joint uncomfortable enough that I requested therapy. Pain is only moderate.
Healthcare visit (other): Physical therapy prescribed by my primary care physician
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 | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release