4YC-16996-33563
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 275 / NC
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-02-14
Dose 2 — Moderna
-
2021-02-15
Registered in v-safe
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: Also felt much better yesterday, but healthchecker cancelled too soonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Actually feel MUCH better than BEFORE the second shot???MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-28
Survey response — day 14, dose 2MedDRA: Arthralgia, Malaise, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hip and leg pains, quite bad, mainly left side. Possibly some malaise. Not clear these are vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-07
Survey response — day 21, dose 2MedDRA: Pain in extremity, Sciatica — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Still have sciatica pain in left legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-12-01
- 2021-12-07
- 2021-12-09
-
2021-12-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-26
-
2022-04-15
Dose 4 — Moderna
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-20
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body achesFree text: Tired and achy , but doing a lot of cleaningMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-10-15
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Feeling abnormal, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had Covid in August. Standard symptoms - cough, slight fever, fatigue, feel miserable for 2 1/2 weeks. 2 positive Covid tests. No medical intervention needed.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Also felt much better yesterday, but healthchecker cancelled too soon
Systemic reaction (other): Actually feel MUCH better than BEFORE the second shot???
Release 4 — day 14, dose 2
Symptoms: Hip and leg pains, quite bad, mainly left side. Possibly some malaise. Not clear these are vaccine related
Release 5 — day 21, dose 2
Symptoms: Still have sciatica pain in left leg
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tired and achy , but doing a lot of cleaning
Release 12 — 6 months, dose 4
Symptoms: Had Covid in August. Standard symptoms - cough, slight fever, fatigue, feel miserable for 2 1/2 weeks. 2 positive Covid tests. No medical intervention needed.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release