46P-28154-11145
3 vaccinations
2 coded responses
29 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 490 / MI
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-08-17
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-19
- 2021-11-25
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Arthralgia, Injection site pain, Limb discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Since my booster shot in October. I had a minor discomfort in my left arm. On Jan 7 & again on the 14, I had severe pain in my shoulder & shot site! Might it be SIRVA? Under Dr care & exploring all possibilities. · Healthcare visit (other): Previously scheduled Dr apptMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-02
Call successfulCompleted over the phone
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Adverse reaction — Feeling: FairFree text: I reported a reaction the shot already. I got one phone call and nothing else. I'm NOT happy! I can't get anywhere with the medical professionals, my insurance, & YOU! So I'm stuck waiting for the next reaction! FYI, I will not get the 2nd booster!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 11 — 3 months, dose 3
Symptoms: Since my booster shot in October. I had a minor discomfort in my left arm. On Jan 7 & again on the 14, I had severe pain in my shoulder & shot site! Might it be SIRVA? Under Dr care & exploring all possibilities.
Healthcare visit (other): Previously scheduled Dr appt
Release 11 — 6 months, dose 3
Symptoms: I reported a reaction the shot already. I got one phone call and nothing else. I'm NOT happy! I can't get anywhere with the medical professionals, my insurance, & YOU! So I'm stuck waiting for the next reaction! FYI, I will not get the 2nd booster! 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release