58G-24508-32216
4 vaccinations
8 coded responses
48 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-19
Dose 2 — Moderna
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-22
-
2021-10-24
Dose 3 — Moderna
-
2021-10-24
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: noneMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Somnolence — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: couldn't sleep last night. sleepy today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
-
2021-11-21
Survey response — day 28, dose 3MedDRA: Fatigue, Pain, Paraesthesia — Feeling: FairFree text: Fatigue & body aches. Tingling in right hand.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 3MedDRA: Arthralgia, Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Numb tingling of right hand fingers - mostly index, middle & thumb fingers. Some joint pain right arm. · Healthcare visit (other): office visit with my PCP.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-27
- 2022-04-24
-
2022-06-15
Dose 4 — Moderna
- 2022-06-21
- 2022-06-22
-
2022-06-29
Survey response — day 14, dose 4MedDRA: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia — 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: Red, hot area on arm 4 inches in diameter near but not directly in the place of my 2nd booster shot. Skin temp registered 99.6F. Painful in that location. Lasted about 3 days. A week later, had a fever 100.6F for about 8 hours. Tested neg both times.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-30
- 2022-06-30
- 2022-07-06
- 2022-07-15
- 2022-07-20
- 2022-07-27
-
2022-09-14
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Fatigue, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Upper respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid symptoms started 08/09. Tested positive 08/12 after 3 days of negative tests. Symptoms lasted 6 days with fatigue last symptom to go away. Still tested positive until 08/20. Now feeling well. Runny nose, upper resp congestion & diarrhea bad.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-14
Survey response — 6 months, dose 4MedDRA: Blood pressure increased, Bronchitis, Laryngitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bronchial infections, laryngitis, elevated blood pressure, especially in the morning. · Healthcare visit (other): office visit with physician.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-06-15
Survey response — 12 months, dose 4MedDRA: Cough, Discomfort, Fatigue, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-06-15 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): none
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): couldn't sleep last night. sleepy today.
Release 10 — day 28, dose 3
Symptoms: Fatigue & body aches. Tingling in right hand.
Release 11 — 3 months, dose 3
Symptoms: Numb tingling of right hand fingers - mostly index, middle & thumb fingers. Some joint pain right arm.
Healthcare visit (other): office visit with my PCP.
Release 12 — day 14, dose 4
Symptoms: Red, hot area on arm 4 inches in diameter near but not directly in the place of my 2nd booster shot. Skin temp registered 99.6F. Painful in that location. Lasted about 3 days. A week later, had a fever 100.6F for about 8 hours. Tested neg both times. cut off by CDC
Release 12 — 3 months, dose 4
Symptoms: Covid symptoms started 08/09. Tested positive 08/12 after 3 days of negative tests. Symptoms lasted 6 days with fatigue last symptom to go away. Still tested positive until 08/20. Now feeling well. Runny nose, upper resp congestion & diarrhea bad. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Bronchial infections, laryngitis, elevated blood pressure, especially in the morning.
Healthcare visit (other): office visit with physician.
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 | Blood pressure increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site warmth | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release