4VB-26132-01925
5 vaccinations
6 coded responses
61 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-13
- 2021-03-21
-
2021-03-24
Dose 2 — Moderna
-
2021-04-07
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Muscle pain at injection site, lasted only 2 days after the 2nd shot. No systemic symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-11-15
Dose 3 — Moderna
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
-
2021-12-27
Survey response — day 42, dose 3MedDRA: Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Sore throat, nasal congestion, post nasal drainage, after exposure to granddaughter with a cold. She tested negative PCR for COVID. I can't get an appointment for testing.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-14
- 2022-05-16
-
2022-05-20
Dose 4 — Moderna
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-08-19
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu
- 2022-10-01
- 2022-10-02
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Exposure to SARS-CoV-2 — Feeling: GoodFree text: I just was exposed to someone with COVID last night, no sx yetMedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
-
2022-10-14
Survey response — day 14, dose 5MedDRA: COVID-19, Exposure to SARS-CoV-2 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am catching COVID from my wife.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — day 21, dose 5MedDRA: Malaise, Quarantine, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Recovering from COVID antigen test + 10/14/22. Symptoms nearly gone today 10/21/22. I isolated 5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Diarrhoea, Influenza, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: COVID 10/14/2022 antigen self test + Post COVID diarrhea persisting to present (12/30) Influenza 11/25/2022, Thanksgiving exposureMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 5Get 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)
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
Symptoms: Muscle pain at injection site, lasted only 2 days after the 2nd shot. No systemic symptoms.
Release 10 — day 42, dose 3
Symptoms: Sore throat, nasal congestion, post nasal drainage, after exposure to granddaughter with a cold. She tested negative PCR for COVID. I can't get an appointment for testing.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I just was exposed to someone with COVID last night, no sx yet
Release 12 — day 14, dose 5
Symptoms: I am catching COVID from my wife.
Release 12 — day 21, dose 5
Symptoms: Recovering from COVID antigen test + 10/14/22. Symptoms nearly gone today 10/21/22. I isolated 5 days.
Release 12 — 3 months, dose 5
Symptoms: COVID 10/14/2022 antigen self test + Post COVID diarrhea persisting to present (12/30) Influenza 11/25/2022, Thanksgiving exposure
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release