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
-
2021-01-07
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-22
- 2021-01-28
-
2021-02-03
Dose 2 — Moderna
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Sinus pain — Feeling: FairFree text: Sore throat, sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: FairFree 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
- 2021-02-24
-
2021-03-03
Survey response — day 28, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Dry Cough, Sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Cough — Feeling: FairFree text: Dry cough. It comes and goes, sporadic in nature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Cough, Pruritus — Feeling: FairFree text: Dry Cough. Itchy Skin on leg and buttock.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-03
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-02-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Sore throat, sinus pain
Release 4 — day 14, dose 2
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
Symptoms: Dry Cough, Sore throat.
Release 8 — 3 months, dose 2
Symptoms: Dry cough. It comes and goes, sporadic in nature.
Release 9 — 6 months, dose 2
Symptoms: Dry Cough. Itchy Skin on leg and buttock.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release