486-26130-67797
5 vaccinations
6 coded responses
56 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 347 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
- 2021-04-08
- 2021-04-14
- 2021-04-21
-
2021-04-23
Dose 2 — Moderna
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Some fatigue and tiredness within first 24 hours of the shot, within normal limitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-06
- 2021-07-23
- 2021-10-22
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Injection site soreness extremely slight.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: GoodFree text: Soreness is completely gone.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-05-02
-
2022-07-01
Dose 4 — Pfizer-BioNTech
- 2022-07-01
-
2022-07-02
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Injection site pain — Feeling: Good · Site: PainFree text: Only mild soreness at injection site, felt mild fatigue in the day yesterday after first checkin, but this is improving, nothing for pain today.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-07-31
- 2022-08-05
-
2022-08-12
Survey response — day 42, dose 4MedDRA: Unevaluable event, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Visual disturbance in right eye · Healthcare visit (other): Referral with specialist scheduledMedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
-
2022-11-07
Dose 5 — Moderna
- 2022-11-07
-
2022-11-08
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site soreness in the morning hours only, no pain in afternoon.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-14
- 2022-12-21
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-07-01 | Pfizer-BioNTech | No |
| 5 | 2022-11-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Some fatigue and tiredness within first 24 hours of the shot, within normal limits
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site soreness extremely slight.
Systemic reaction (other): Soreness is completely gone.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Only mild soreness at injection site, felt mild fatigue in the day yesterday after first checkin, but this is improving, nothing for pain today.
Release 12 — day 42, dose 4
Symptoms: Visual disturbance in right eye
Healthcare visit (other): Referral with specialist scheduled
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site soreness in the morning hours only, no pain in afternoon.
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 | Unevaluable event | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release