4AU-13459-59769
4 vaccinations
4 coded responses
34 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 761 / TX
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Health check-in — day 7, dose 1Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Heart rate increased — Feeling: GoodFree text: A very slight increase of blood pressure and heart beat since 2nd shot. I take blood pressure reading every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-12
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-11-08
Dose 3 — Moderna
- 2022-04-19
-
2022-04-28
Dose 4 — Moderna
-
2022-04-28
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Muscle or body aches · Be unable to work or attend schoolAdult check-in
- 2022-05-01
- 2022-05-02
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: This booster seems to have a more lingering effect than all the other shots. All of them i would consider mild.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2022-05-05
Health check-in — day 7, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-12
- 2022-05-19
-
2022-05-26
Survey response — day 28, dose 4MedDRA: Fatigue, Injection site pain, Vaccination site pain — Feeling: FairFree text: My arm and muscle at vaccine shot site is still a little sore. Lingering tiredness after all this time. Not severe but mild. This was the exact opposite from the last three shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-07-29
- 2022-10-27
-
2023-05-01
Survey response — 12 months, dose 4MedDRA: Aortic aneurysm, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-05-01
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-05-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A very slight increase of blood pressure and heart beat since 2nd shot. I take blood pressure reading every day.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): This booster seems to have a more lingering effect than all the other shots. All of them i would consider mild.
Release 11 — day 28, dose 4
Symptoms: My arm and muscle at vaccine shot site is still a little sore. Lingering tiredness after all this time. Not severe but mild. This was the exact opposite from the last three shots.
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 | Aortic aneurysm | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release