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4FV-19169-80746

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
752 / TX
Registered
2021-01-14
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-03
    Dose 2 — Moderna
  7. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Survey response — day 7, dose 2
    MedDRA: Oropharyngeal pain, Sinus pain — Feeling: Fair
    Free text: Sore throat, sinus pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-17
    Survey response — day 14, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Feeling tired, energy level is low. Could be effects of Vaccine or Extreme Cold weather in Dallas Texas. Last 2 days, Temps 9 - 23 degrees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-03
    Survey response — day 28, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair
    Free text: Dry Cough, Sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: Dry cough. It comes and goes, sporadic in nature.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Cough, Pruritus — Feeling: Fair
    Free text: Dry Cough. Itchy Skin on leg and buttock.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2022-02-03
    Survey response — 12 months, dose 2
    MedDRA: Hypersensitivity, Influenza like illness, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: My Allergies have flared more frequently this fall. Occured once a month, for last 3 months. Maybe Omicron Virus is weaking my Immune System and Im having more flu like symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-03
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-02-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-03Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Sore throat, sinus pain

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Feeling tired, energy level is low. Could be effects of Vaccine or Extreme Cold weather in Dallas Texas. Last 2 days, Temps 9 - 23 degrees.

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Dry Cough, Sore throat.

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Dry cough. It comes and goes, sporadic in nature.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Dry Cough. Itchy Skin on leg and buttock.

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: My Allergies have flared more frequently this fall. Occured once a month, for last 3 months. Maybe Omicron Virus is weaking my Immune System and Im having more flu like symptoms.

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
SDCough ✓ ✓ ✓
SDHypersensitivity · · ✓
SDInfluenza like illness · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPruritus ✓ · ✓
SDUnevaluable event ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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