3VU-13133-88510
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 142 / NY
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-13
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pyrexia, Self-medication — Feeling: GoodFree text: After I submitted my last report, I had some moderate joint pian and developed a fever of 101.3. Oddly enough, I had no chills associated with it. Took motrin, fever gone in 2hrs. Feel great now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Self-medication — Feeling: GoodFree text: After I submitted my last report yesterday, once again I had a fever of 100.3 and chills. After taking motrin, within a couple hours felt fine again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-25
-
2021-03-03
Survey response — day 35, dose 2MedDRA: Hypothyroidism, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been diagnosed with hypothyroidism. Just diagnosed, awaiting treatment options. · Healthcare visit (other): Primary physician.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-10
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 2MedDRA: Blood thyroid stimulating hormone decreased — Feeling: GoodFree text: Thyroid levels went crazy, TSH dropped to .01, T4, FREE jumped to 1.9. A1c, jumped a full point. All levels are now back to normal 3 months after the second shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-29
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | 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 2
Systemic reaction (other): After I submitted my last report, I had some moderate joint pian and developed a fever of 101.3. Oddly enough, I had no chills associated with it. Took motrin, fever gone in 2hrs. Feel great now.
Systemic reaction (other): After I submitted my last report yesterday, once again I had a fever of 100.3 and chills. After taking motrin, within a couple hours felt fine again.
Release 5 — day 35, dose 2
Symptoms: I have been diagnosed with hypothyroidism. Just diagnosed, awaiting treatment options.
Healthcare visit (other): Primary physician.
Release 9 — 6 months, dose 2
Symptoms: Thyroid levels went crazy, TSH dropped to .01, T4, FREE jumped to 1.9. A1c, jumped a full point. All levels are now back to normal 3 months after the second shot.
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 | Blood thyroid stimulating hormone decreased | ✓ | · | ✓ |
| SD | Hypothyroidism | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release