538-23607-58344
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 972 / OR
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-04-15
Dose 2 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: GoodFree text: It has been a little difficult to distinguish between the fatigue from the shot and from diabetes instead, but I have been more exhausted since the shot, so my answers of fatigue from the jab stand. I've done pretty well for a diabetic!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-07-15
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Cough, Medical counselling, Nasopharyngitis, Pain in extremity, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a head cold which fortunately was not Vivid. Have a cough. The pain in my arm from the vaccination had finally gone from this week. Since April 2021 I had a sore arm. · Healthcare visit (other): Went to a pharmacist who referred me to a Covid test where I received a script for Sudogest.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-18
Call successfulCompleted over the phone
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): It has been a little difficult to distinguish between the fatigue from the shot and from diabetes instead, but I have been more exhausted since the shot, so my answers of fatigue from the jab stand. I've done pretty well for a diabetic!
Release 10 — 6 months, dose 2
Symptoms: Had a head cold which fortunately was not Vivid. Have a cough. The pain in my arm from the vaccination had finally gone from this week. Since April 2021 I had a sore arm.
Healthcare visit (other): Went to a pharmacist who referred me to a Covid test where I received a script for Sudogest.
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 | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release