4ME-23464-31770
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 051 / VT
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I normally have knee pain due to longstanding osteoarthritis, but it seems worse today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-02
-
2021-10-24
Dose 3 — ModernaCo-administered: Flu
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-11-02
- 2021-11-07
- 2021-11-23
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-11
Dose 4 — Moderna
- 2022-04-18
-
2022-04-25
Survey response — day 14, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Cold symptoms; runny nose, sore throat, sneezing, and cough for 3-4 days. Now resolved.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-07-15
-
2022-10-10
Survey response — 6 months, dose 4MedDRA: Compartment syndrome, Deep vein thrombosis, Emergency care, Peripheral swelling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Serious DVT from ankle to groin in left leg at a time when I was very active. Onset 9/7/22. Seen in ER on 9/10/22 and started taking Eliquis. Manifestations bordered on a "compartment syndrome" in L thigh when seen. Swelling has receded considerably.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-11
- 2022-10-14
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-24 | Moderna | Flu |
| 4 | 2022-04-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I normally have knee pain due to longstanding osteoarthritis, but it seems worse today.
Release 11 — day 14, dose 4
Symptoms: Cold symptoms; runny nose, sore throat, sneezing, and cough for 3-4 days. Now resolved.
Release 12 — 6 months, dose 4
Symptoms: Serious DVT from ankle to groin in left leg at a time when I was very active. Onset 9/7/22. Seen in ER on 9/10/22 and started taking Eliquis. Manifestations bordered on a "compartment syndrome" in L thigh when seen. Swelling has receded considerably. cut off by CDC
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 | Compartment syndrome | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release