3UV-26469-77828
5 vaccinations
7 coded responses
45 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 467 / IN
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TKN-71374-86446
Other · Female · 2022-04-15
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-21
Survey response — day 0, dose 1MedDRA: Self-medication — Feeling: Good · Fatigue or tirednessFree text: I took a 500 mg. about 2 hours after vaccination as a preventive maybe that helped? It has now been just under 5 hours since receiving vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Dysphonia — Feeling: GoodFree text: My voice is increasingly hoarse - not sure why or if relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-03-06
- 2021-03-15
-
2021-03-21
Survey response — day 28, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Cold, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Anaemia, Iron deficiency — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Iron deficiency- anemia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Cataract operation, Cholecystectomy, Gallbladder disorder, Inguinal hernia repair, Iron deficiency — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Gallbladder flared and had to be removed; inguinal hernia surgery, cataract surgery. Iron deficiency.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-24
-
2021-09-27
Dose 3 — ModernaCo-administered: Flu
- 2021-10-27
- 2021-11-01
-
2021-11-10
Survey response — day 42, dose 3MedDRA: Fatigue, Seasonal affective disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue- perhaps related to seasonal affective disorder - just not sure.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-16
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-05-01
- 2022-05-06
- 2022-05-13
-
2022-05-22
Survey response — day 35, dose 4MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue and joint aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
-
2022-10-18
Dose 5 — Moderna
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-11-01
- 2022-11-08
- 2022-11-17
- 2022-11-24
- 2022-11-29
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-27 | Moderna | Flu |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-18 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I took a 500 mg. about 2 hours after vaccination as a preventive maybe that helped? It has now been just under 5 hours since receiving vaccine.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My voice is increasingly hoarse - not sure why or if related
Release 6 — day 28, dose 2
Symptoms: Cold, sore throat
Release 8 — 3 months, dose 2
Symptoms: Iron deficiency- anemia.
Release 9 — 6 months, dose 2
Symptoms: Gallbladder flared and had to be removed; inguinal hernia surgery, cataract surgery. Iron deficiency.
Release 10 — day 42, dose 3
Symptoms: Fatigue- perhaps related to seasonal affective disorder - just not sure.
Release 11 — day 35, dose 4
Symptoms: Fatigue and joint aches.
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 | Anaemia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cataract operation | ✓ | · | ✓ |
| SD | Cholecystectomy | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gallbladder disorder | ✓ | · | ✓ |
| SD | Inguinal hernia repair | ✓ | · | ✓ |
| SD | Iron deficiency | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Seasonal affective disorder | · | · | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release