4S7-10838-91248
5 vaccinations
6 coded responses
63 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 378 / TN
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 1 — Moderna
-
2021-03-28
Survey response — day 0, dose 1MedDRA: Abdominal discomfort, Chills, Fatigue, Headache, Influenza like illness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Onset of mild headache was within first hour after shot. Not noticable after 3 hrs. Chills within 2 hrs. Fatigue onset throughout the day with boghts of chills until evening. Best explanation would be to assosiate as mild flu with some abdominal discomfort. No diarrhea, just twinges of mild discomfort. Rested all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Asthenopia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Pressure behind my eyes. No headache, but my eyes are very tierd but clear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: Still reduced appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
- 2021-04-18
-
2021-04-25
Dose 2 — Moderna
-
2021-04-25
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-27
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-07-25
- 2021-10-24
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2021-12-16
- 2022-02-02
- 2022-05-04
-
2022-05-23
Dose 4 — Moderna
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-15
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-10-22
Dose 5 — ModernaCo-administered: Flu:Tetanus
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2022-10-24
- 2022-10-25
-
2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Oral herpes — Feeling: GoodFree text: Large Cold sore break out between upper lip and nose. Uncommon for me.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-14
- 2022-11-19
- 2022-11-26
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2022-12-03
Survey response — day 42, dose 5MedDRA: Cough, Nasopharyngitis, Paranasal sinus hypersecretion, Productive cough, Sputum discoloured, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold symptoms, persistent heavy productive cough more than 5 days, sunus draining down throat. Prescribe cefpodoxime. Day 2, yellow mucas from coughing changed to clear. Less coughing spells. Improving.MedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-06
- 2022-12-09
-
2023-01-28
Survey response — 3 months, dose 5MedDRA: Cough, Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-28
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-30
- 2023-01-30
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Moderna | |
| 2 | 2021-04-25 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-22 | Moderna | Flu:Tetanus |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Onset of mild headache was within first hour after shot. Not noticable after 3 hrs. Chills within 2 hrs. Fatigue onset throughout the day with boghts of chills until evening. Best explanation would be to assosiate as mild flu with some abdominal discomfort. No diarrhea, just twinges of mild discomfort. Rested all day.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pressure behind my eyes. No headache, but my eyes are very tierd but clear.
Systemic reaction (other): Still reduced appetite.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Large Cold sore break out between upper lip and nose. Uncommon for me.
Release 12 — day 42, dose 5
Symptoms: Cold symptoms, persistent heavy productive cough more than 5 days, sunus draining down throat. Prescribe cefpodoxime. Day 2, yellow mucas from coughing changed to clear. Less coughing spells. Improving.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release