5B3-13534-10931
5 vaccinations
3 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 302 / GA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-23
- 2021-02-01
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis, Mobility decreased, Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have arthritis, stenosis bulging discs L4 5 and 6. On day one I had no pain and on day 2 I believe the vaccine has aggravated this condition to the extent that my Mobility is almost zero. This has lasted all day until now. I am taking Tramadol 2 help relieve the pain. Hopefully this condition will disappear soon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Self-medication — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The aches and pains continuing with my lower back but not as bad as yesterday I would say that I am at 70% of normal I had the heating pad on medium last night and Tylenol with codeine has helped. Hopefully tomorrow will be much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
-
2021-02-19
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Drug ineffective, Sinonasal obstruction, Therapeutic product ineffective, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Since my last report my sinuses have been completely blocked up and it is miserable. I normally take levocetirizine however this year it is not working at all. I have doubled the dose and amusing two nasal sprays which are not working notified doctor · Healthcare visit (other): I have notified my personal physician today and am awaiting his diagnosis and recommended course of actionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-12
Dose 3 — Moderna
- 2022-01-14
- 2022-02-12
-
2022-05-06
Dose 4 — Moderna
-
2022-10-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-13
- 2022-10-15
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-08
- 2022-11-14
- 2022-11-21
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have arthritis, stenosis bulging discs L4 5 and 6. On day one I had no pain and on day 2 I believe the vaccine has aggravated this condition to the extent that my Mobility is almost zero. This has lasted all day until now. I am taking Tramadol 2 help relieve the pain. Hopefully this condition will disappear soon.
Systemic reaction (other): The aches and pains continuing with my lower back but not as bad as yesterday I would say that I am at 70% of normal I had the heating pad on medium last night and Tylenol with codeine has helped. Hopefully tomorrow will be much better.
Release 6 — day 42, dose 2
Symptoms: Since my last report my sinuses have been completely blocked up and it is miserable. I normally take levocetirizine however this year it is not working at all. I have doubled the dose and amusing two nasal sprays which are not working notified doctor cut off by CDC
Healthcare visit (other): I have notified my personal physician today and am awaiting his diagnosis and recommended course of action
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Drug ineffective | ○ | ✓ | ○ |
| SD | Sinonasal obstruction | ✓ | ✓ | ✓ |
| SD | Therapeutic product ineffective | ✓ | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release