4UF-60515-02210
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 440 / OH
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Moderna
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Injection site pain — Feeling: Fair · Site: PainFree text: I got the shot at 10 am, it didn't hurt until 5pm, and I haven't had an appetite since yesterday around noon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: My appetite came back after 27 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
-
2021-05-10
Dose 2 — Moderna
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: The pain has been less than the first shot, i still lost my appetite but omly for about 15 hours this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-24
-
2021-05-31
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: It was weird. I was driving, i put my arm on the back of the passenger seat, and there was pain in the injection site. The second injection was May 10th, today is the 31st. I haven't had pain since the 11th.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-08-09
- 2021-11-08
-
2022-02-26
Dose 3 — Moderna
-
2022-04-10
Dose 4 — Moderna
-
2022-05-02
Survey response — day 21, dose 4MedDRA: Coronary artery bypass — 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 · HospitalizationFree text: Triple Bypass February 1stMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-03
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-07-10
- 2022-10-10
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-10 | Moderna | |
| 3 | 2022-02-26 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I got the shot at 10 am, it didn't hurt until 5pm, and I haven't had an appetite since yesterday around noon.
Systemic reaction (other): My appetite came back after 27 hours.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The pain has been less than the first shot, i still lost my appetite but omly for about 15 hours this time.
Release 8 — day 21, dose 2
Symptoms: It was weird. I was driving, i put my arm on the back of the passenger seat, and there was pain in the injection site. The second injection was May 10th, today is the 31st. I haven't had pain since the 11th.
Release 11 — day 21, dose 4
Symptoms: Triple Bypass February 1st
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 | Coronary artery bypass | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release