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42F-45089-81094

3 vaccinations 5 coded responses 24 check-ins 5 free-text entries 4 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
323 / FL
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-18
    Dose 2 — Moderna
  12. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-20
    Survey response — 3 months, dose 2
    MedDRA: Bronchitis, Chronic obstructive pulmonary disease, Dehydration, Emergency care, Nasopharyngitis, Upper respiratory tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I developed a severe cold which turned into acute upper respiratory infection, acute dehydration and acute bronchitis with COPD. I spent a few hours in the ER with a week's follow-up treatment. I have since recovered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-20
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-08-19
    Survey response — 6 months, dose 2
    MedDRA: Bronchitis, Chronic obstructive pulmonary disease, Dehydration, Emergency care — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: ER visit for acute dehydration, acute bronchitis with COPD.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-19
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-24
  23. 2021-10-13
    Dose 3 — Moderna
  24. 2021-10-27
    Survey response — day 14, dose 3
    MedDRA: Headache, Malaise, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: After third covid vac I got a feeling as though I was getting I'll and had headaches for two days. No real illness materialized. All cleared up with in 72 hrs. Arm was sore 3-4 days. I had gotten a flu shot the day before my covid vac.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-01-12
    Survey response — 3 months, dose 3
    MedDRA: Herpes zoster, Malaise, Nasopharyngitis, Office visit — 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 visit
    Free text: Mid December, I was I'll. Urgent Care said no covid, no Flu. So, a cold I suppose. At the same time I also had a mild case of shingles. Treated with valvacyclovir. Both have cleared up.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-12
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-01-13
  32. 2022-01-13
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-04-13
    Survey response — 6 months, dose 3
    MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Hi blood pressure. Moreso than usual.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-13
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  35. 2022-04-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  36. 2022-10-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-18Moderna
32021-10-13Moderna No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: I developed a severe cold which turned into acute upper respiratory infection, acute dehydration and acute bronchitis with COPD. I spent a few hours in the ER with a week's follow-up treatment. I have since recovered.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: ER visit for acute dehydration, acute bronchitis with COPD.

Release 10 — day 14, dose 3

2021-10-27

Symptoms: After third covid vac I got a feeling as though I was getting I'll and had headaches for two days. No real illness materialized. All cleared up with in 72 hrs. Arm was sore 3-4 days. I had gotten a flu shot the day before my covid vac.

Release 10 — 3 months, dose 3

2022-01-12

Symptoms: Mid December, I was I'll. Urgent Care said no covid, no Flu. So, a cold I suppose. At the same time I also had a mild case of shingles. Treated with valvacyclovir. Both have cleared up.

Release 11 — 6 months, dose 3

2022-04-13

Symptoms: Hi blood pressure. Moreso than usual.

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

FieldPreferred term2021-092023-042024-11
SDBronchitis ✓ ✓ ✓
SDChronic obstructive pulmonary disease ✓ ✓ ✓
SDDehydration ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDHeadache · · ✓
SDHerpes zoster · · ✓
SDHypertension · · ✓
SDMalaise · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDUpper respiratory tract infection ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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