3SQ-29700-01902
5 vaccinations
5 coded responses
54 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 482 / MI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Myalgia, Oral herpes — Feeling: FairFree text: Slight muscle ache, headache, cold sore, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-08-30
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased — Feeling: Good · Site: PainFree text: Slight fever yesterday after reporting through vsafe. 99 degrees for a couple of hours.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-10
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Ear disorder, Office visit, Pain in jaw — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore jaw for 2 weeks, irritated ear canal. No apparent infection related to this. · Healthcare visit (other): In person with family doctor during routine appointment.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-03
Call successfulCompleted over the phone
-
2022-04-08
Dose 4 — Moderna
- 2022-04-19
- 2022-04-22
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Oral herpes, Pain, Self-medication — Feeling: GoodFree text: Some slight aches and a small cold sore. No fever detected. Symptoms lasted 12 hours. I treated the cold sore with abreva ointment, and it disappeared after 3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Epistaxis, Nasal discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested for atrial fibrillation. No results yet. Also, discomfort in left nasal, slight nasal bleeding, now resolved. · Healthcare visit (other): Routine visit with family doctor, followed by referral to cardiologist.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-11
- 2022-07-11
-
2022-09-30
Dose 5 — Moderna
- 2022-10-07
- 2022-10-11
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-13
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Slight muscle ache, headache, cold sore, fatigue.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight fever yesterday after reporting through vsafe. 99 degrees for a couple of hours.
Release 11 — 3 months, dose 3
Symptoms: Sore jaw for 2 weeks, irritated ear canal. No apparent infection related to this.
Healthcare visit (other): In person with family doctor during routine appointment.
Release 11 — day 21, dose 4
Symptoms: Some slight aches and a small cold sore. No fever detected. Symptoms lasted 12 hours. I treated the cold sore with abreva ointment, and it disappeared after 3 days.
Release 12 — 3 months, dose 4
Symptoms: Tested for atrial fibrillation. No results yet. Also, discomfort in left nasal, slight nasal bleeding, now resolved.
Healthcare visit (other): Routine visit with family doctor, followed by referral to cardiologist.
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 | · | · | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release