4VP-25073-39287
4 vaccinations
5 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 180 / PA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-22
- 2021-03-03
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Forgot to mention had not a sore but scratchy throat yesterday. It is gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Last night again had very mild throat irritation. Not sore but something I normally don't experience. I thought it resolved but symptoms appear at night. It's extremely mild and don't notice it during the day. If I assess it right now at 3:30pm, it's there but even less. On a scale of 1-10 it would be a .5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Mild throat irritation this morning was more prevalent but still very mild. It is not sore but is more noticeable at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 42, dose 2MedDRA: Dysphagia, Throat irritation — Feeling: GoodFree text: 5 days ago I had a scratchy throat, not sore but irritated when swallowing. It resolved the next dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
-
2021-08-24
Dose 3 — Moderna
- 2021-09-06
- 2021-11-23
- 2022-02-22
-
2022-04-11
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-25
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: Arthralgia, Haematoma, Headache, Lacrimation increased, Myalgia, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Joint & muscle aches, headaches, watery eyes, hematoma on low back not caused by injury, pins and needles in arms & legs · Healthcare visit (other): Doctor vistsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-07-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to mention had not a sore but scratchy throat yesterday. It is gone today.
Systemic reaction (other): Last night again had very mild throat irritation. Not sore but something I normally don't experience. I thought it resolved but symptoms appear at night. It's extremely mild and don't notice it during the day. If I assess it right now at 3:30pm, it's there but even less. On a scale of 1-10 it would be a .5
Systemic reaction (other): Mild throat irritation this morning was more prevalent but still very mild. It is not sore but is more noticeable at night.
Release 7 — day 42, dose 2
Symptoms: 5 days ago I had a scratchy throat, not sore but irritated when swallowing. It resolved the next day
Release 12 — 3 months, dose 4
Symptoms: Joint & muscle aches, headaches, watery eyes, hematoma on low back not caused by injury, pins and needles in arms & legs
Healthcare visit (other): Doctor vists
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Haematoma | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release