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
-
2021-02-12
Dose 1 — Moderna
-
2021-03-10
Dose 2 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-18
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: COVID-19, Fatigue, Headache, Influenza like illness, SARS-CoV-2 test, Unevaluable event — Feeling: GoodFree 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
-
2022-05-01
Survey response — 6 months, dose 3MedDRA: 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 visitFree 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
-
2022-05-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release