3WL-24863-92138
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-13
- 2021-01-16
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Herpes zoster — Feeling: GoodFree text: Mild to moderate shingles following 2nd vaccination. ???relationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
-
2021-05-08
Survey response — 3 months, dose 2MedDRA: Arthralgia, Exposure to SARS-CoV-2, Myalgia, Vaccination site reaction — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Exposure about 5 days ago to someone may have been exposed to covid and/or sympathetic. Have developed severe myalgias and arthralgias now. Would be similar to severe reaction to vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Abdominal pain lower, Arthralgia, Arthropod bite, Headache, Hypersensitivity, Myalgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extraordinary reaction following an insect bite: prominent right lower quadrant pain followed by mild headache and mild myalgia and also arthralgia especially R knee pain. Symptoms resolved after a few days. Seemed like an extraordinary immunologicalMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 28, dose 2
Symptoms: Mild to moderate shingles following 2nd vaccination. ???relation
Release 8 — 3 months, dose 2
Symptoms: Exposure about 5 days ago to someone may have been exposed to covid and/or sympathetic. Have developed severe myalgias and arthralgias now. Would be similar to severe reaction to vaccination
Release 9 — 6 months, dose 2
Symptoms: Extraordinary reaction following an insect bite: prominent right lower quadrant pain followed by mild headache and mild myalgia and also arthralgia especially R knee pain. Symptoms resolved after a few days. Seemed like an extraordinary immunological cut off by CDC
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 | Abdominal pain lower | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthropod bite | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release