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45V-61756-49003

3 vaccinations 3 coded responses 27 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
802 / CO
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-03-10
    Dose 2 — Moderna
  3. 2021-03-11
    Registered in v-safe
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: All these symptoms are on a low grade level, not seriously limiting (although I did check that above because I do not have have the desire to get out and really exercise). Not much of an appetite either.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-29
    Dose 3 — Moderna
  18. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-30
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Fatigue, Headache, Influenza like illness, SARS-CoV-2 test, Unevaluable event — Feeling: Good
    Free text: Contracted the Omicron variant due to social contact with neighborhood friends. Very mild flu type symptoms: headaches, tired, below grade temperature . . . Took a Covid-19 test, did not seek medical aide. Spouse had similar symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-01
    Survey response — 6 months, dose 3
    MedDRA: Dizziness — 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 · Emergency room or emergency department visit
    Free text: Extreme dizziness for 2 days, lessened with time until after 2 months it was pretty minimal but still periodically there.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-01
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  33. 2022-05-02

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-10Moderna
32021-10-29Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): All these symptoms are on a low grade level, not seriously limiting (although I did check that above because I do not have have the desire to get out and really exercise). Not much of an appetite either.

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: Contracted the Omicron variant due to social contact with neighborhood friends. Very mild flu type symptoms: headaches, tired, below grade temperature . . . Took a Covid-19 test, did not seek medical aide. Spouse had similar symptoms.

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Extreme dizziness for 2 days, lessened with time until after 2 months it was pretty minimal but still periodically there.

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
SDCOVID-19 · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDSARS-CoV-2 test · · ✓
SDUnevaluable event · · ✓
SRODecreased appetite ✓ ✓ ✓

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