4DU-15594-33408
4 vaccinations
7 coded responses
32 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Congestion,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Cough. Temperature cleared up around 9:30am.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — day 7, dose 1MedDRA: Ocular hyperaemia — Feeling: Good · Fatigue or tirednessFree text: Red eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-19
Survey response — day 21, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen gland in neck. Same side as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 28, dose 1MedDRA: Lymphadenopathy, Office visit, Prostatic specific antigen increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen lymph nodes on both sides of neck... Last week only knew of 1. The one on right side now shrinking. One week after shot at my annual Health check up, PSA measured 4.2. Am on Finasteride which means almost double that. It fell now to 2.9. · Healthcare visit (other): Went to Urologist, schedule for radiologist for neck next week also at ENT the following week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-30
Dose 2 — Moderna
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint painsAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness · Joint painsFree text: Still have swollen lymph nodes in neck from 1st shot, although they have shrunk somewhat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-05
- 2021-05-11
- 2021-07-01
-
2021-08-25
Dose 3 — Moderna
- 2021-09-30
- 2022-01-17
- 2022-04-01
-
2022-04-26
Dose 4 — Moderna
- 2022-04-30
- 2022-05-01
- 2022-05-03
- 2022-05-11
- 2022-05-19
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
- 2022-10-27
-
2023-04-26
Survey response — 12 months, dose 4MedDRA: COVID-19, Emergency care, Fatigue, Immunisation reaction, Palpitations, Pyrexia, Respiratory tract congestion — 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 consultationMedDRA releases: 2024-11
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2023-04-26
Report sent to call center — 12 months, dose 4Be 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)
- 2023-04-27
- 2023-04-27
- 2023-05-02
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-08-25 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion,
Systemic reaction (other): Cough. Temperature cleared up around 9:30am.
Release 5 — day 7, dose 1
Systemic reaction (other): Red eyes
Release 5 — day 21, dose 1
Symptoms: Swollen gland in neck. Same side as injection.
Release 6 — day 28, dose 1
Symptoms: Swollen lymph nodes on both sides of neck... Last week only knew of 1. The one on right side now shrinking. One week after shot at my annual Health check up, PSA measured 4.2. Am on Finasteride which means almost double that. It fell now to 2.9.
Healthcare visit (other): Went to Urologist, schedule for radiologist for neck next week also at ENT the following week.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Still have swollen lymph nodes in neck from 1st shot, although they have shrunk somewhat.
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 | Emergency care | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Prostatic specific antigen increased | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release