3RT-15802-79130
3 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- 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
- 2021-02-12
- 2021-02-13
- 2021-02-15
- 2021-02-17
- 2021-02-25
- 2021-03-04
- 2021-03-17
-
2021-03-19
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: ItchingFree text: After vaccine last week I had high temperature and extreme exhaustion that occurred 22 hours after the shot! Symptoms were gone 36 hours after the vaccine injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-02
- 2021-04-11
- 2021-04-23
- 2021-04-30
-
2021-06-22
Survey response — 3 months, dose 2MedDRA: Asthenia — Feeling: GoodFree text: I think I have a slight lessening of energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-19
Survey response — 6 months, dose 2MedDRA: Genital rash, Rash, Self-medication — Feeling: GoodFree text: I seem to be troubled by rashes. Sometimes under my arm, sometimes on my arm. -- persistent on my testicles, and I've used tube after tube of antifungal cream.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Dose 3 — ModernaCo-administered: Flu
- 2022-03-19
-
2022-03-19
Survey response — 12 months, dose 2MedDRA: Dysgeusia, Myalgia, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Temperature, sore muscles, bad taste! The dreaded Omicron!MedDRA releases: 2024-11 · check-in free text available
- 2022-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-12-18 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): After vaccine last week I had high temperature and extreme exhaustion that occurred 22 hours after the shot! Symptoms were gone 36 hours after the vaccine injection.
Release 9 — 3 months, dose 2
Symptoms: I think I have a slight lessening of energy
Release 9 — 6 months, dose 2
Symptoms: I seem to be troubled by rashes. Sometimes under my arm, sometimes on my arm. -- persistent on my testicles, and I've used tube after tube of antifungal cream.
Release 11 — 12 months, dose 2
Symptoms: Temperature, sore muscles, bad taste! The dreaded Omicron!
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Genital rash | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release