4YG-31772-13991
5 vaccinations
9 coded responses
59 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 789 / TX
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
- 2021-01-22
- 2021-01-28
-
2021-02-03
Dose 2 — Moderna
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue is now gone after less than a dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: No Symptoms at allMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site pain — Feeling: Good · Fatigue or tirednessFree text: The fatigue was slight and has since abated. Overnight there was soreness in my arm at injection site and that is going away too.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Feeling great today!MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Feeling very good today. No health problems.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-05-11
Dose 4 — Moderna
-
2022-05-11
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: The injection site from yesterday's booster is sore only when I poke it. Otherwise no pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
-
2022-05-25
Survey response — day 14, dose 4MedDRA: Hypersensitivity, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Not related to vaccine, on Tuesday I experienced swelling of right hand due to allergic reaction to termite spray contact. Dr. administered Benadryl pill and steroid pill. Symptoms disappeared within 8 hours.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-25
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-26
-
2022-05-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-08-10
-
2022-10-03
Dose 5 — Moderna
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue is now gone after less than a day
Release 10 — day 0, dose 3
Systemic reaction (other): No Symptoms at all
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The fatigue was slight and has since abated. Overnight there was soreness in my arm at injection site and that is going away too.
Systemic reaction (other): Feeling great today!
Systemic reaction (other): Feeling very good today. No health problems.
Release 11 — day 0, dose 4
Systemic reaction (other): No
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The injection site from yesterday's booster is sore only when I poke it. Otherwise no pain.
Systemic reaction (other): No
Release 11 — day 14, dose 4
Symptoms: Not related to vaccine, on Tuesday I experienced swelling of right hand due to allergic reaction to termite spray contact. Dr. administered Benadryl pill and steroid pill. Symptoms disappeared within 8 hours.
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 | Hypersensitivity | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release