58P-12805-51003
4 vaccinations
6 coded responses
47 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 351 / AL
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-19
- 2021-08-16
-
2021-10-25
Dose 3 — Moderna
-
2021-10-25
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: GoodFree text: I contribute any ache and pain I have experienced to 76 years I have behind me. No problems with COVID or injections. Thanks for providing my family with the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
-
2021-11-22
Survey response — day 28, dose 3MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Urinary track infection. Taking anabiotic's now. · Healthcare visit (other): Family doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-29
- 2021-11-30
- 2021-12-06
- 2022-01-24
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
- 2022-04-21
-
2022-04-25
Survey response — day 7, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: The only discomforts I experience is due to 77 years of being a type A person that has difficulty changing my lifestyle. Never buy this mind over matter, it's not true.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I contribute any ache and pain I have experienced to 76 years I have behind me. No problems with COVID or injections. Thanks for providing my family with the vaccine.
Systemic reaction (other): None
Release 10 — day 28, dose 3
Symptoms: Urinary track infection. Taking anabiotic's now.
Healthcare visit (other): Family doctor.
Release 11 — day 7, dose 4
Systemic reaction (other): The only discomforts I experience is due to 77 years of being a type A person that has difficulty changing my lifestyle. Never buy this mind over matter, it's not true.
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 | Influenza | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release