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4F7-30097-02366

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
125 / NY
Registered
2021-05-08
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Dose 1 — Moderna
  2. 2021-05-08
    Registered in v-safe
  3. 2021-05-08
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-05-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-20
    Dose 2 — Moderna
  6. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-05-27
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-06-03
    Survey response — day 14, dose 2
    MedDRA: Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Pain and other symptoms · Healthcare visit (other): Tests ordered by my primary doctor and will see my orinary dictir this coming Monday fir the results
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-03
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-19
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-07-02
    Survey response — day 42, dose 2
    MedDRA: Pollakiuria — Feeling: Fair
    Free text: Not urinating as often as I was the last few days. Watching it and may try to see a doctor next few days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-20
    Survey response — 3 months, dose 2
    MedDRA: Pain, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Unexplained weight loss, pains etc
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-20
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-09-02
  20. 2021-11-20
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Inflammation, Pain, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pain in various places. Shortness of breath. Weight loss. Frequent inflamations.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-20
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2021-11-23
  23. 2022-05-23
    Survey response — 12 months, dose 2
    MedDRA: Lethargy, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sore throat, sneezing, constant runny nose, feeling of lethargy, only want to stay in bed.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Moderna
22021-05-20Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-06-03

Symptoms: Pain and other symptoms
Healthcare visit (other): Tests ordered by my primary doctor and will see my orinary dictir this coming Monday fir the results

Release 9 — day 42, dose 2

2021-07-02

Symptoms: Not urinating as often as I was the last few days. Watching it and may try to see a doctor next few days.

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Unexplained weight loss, pains etc

Release 10 — 6 months, dose 2

2021-11-20

Symptoms: Pain in various places. Shortness of breath. Weight loss. Frequent inflamations.

Release 11 — 12 months, dose 2

2022-05-23

Symptoms: Sore throat, sneezing, constant runny nose, feeling of lethargy, only want to stay in bed.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDDyspnoea · · ✓
SDInflammation · · ✓
SDLethargy · · ✓
SDOropharyngeal pain · · ✓
SDPain ✓ ✓ ✓
SDPollakiuria ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDWeight decreased ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release