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5BW-12127-55800

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
787 / TX
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-23
    Dose 2 — Moderna
  11. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling cold, Influenza like illness, Pain, Pyrexia — Feeling: Good
    Free text: On 4/14 had fever, felt cold and body aches as if I had the flu. Symptoms went away around 10 PM
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-23
    Survey response — 3 months, dose 2
    MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair
    Free text: Aftet a trup to Chicago on the week of July 4th, my younger son develop sore throat, nose congestion and cough but no fever the next week. He passed that on to ne the week after with same symptoms. As of today, feel bette only some slight congestion
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-10-24
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Prostatomegaly — Feeling: Good
    Free text: Urologist detected enlargement on right side of protraste. PDA was negative but I will have an MRI to rule out prostrate cancer. I believe it is unrelated to vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-05
    Dose 3 — Moderna
  20. 2021-11-05
    Survey response — day 0, dose 3
    MedDRA: Office visit, Prostatomegaly — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Prostate bunp. PSA notmal.MRI on 11/11 · Healthcare visit (other): Urologist
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-05
    Report sent to call center — day 0, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-10
  27. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-11-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-23Moderna
32021-11-05Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): On 4/14 had fever, felt cold and body aches as if I had the flu. Symptoms went away around 10 PM

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Aftet a trup to Chicago on the week of July 4th, my younger son develop sore throat, nose congestion and cough but no fever the next week. He passed that on to ne the week after with same symptoms. As of today, feel bette only some slight congestion cut off by CDC

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: Urologist detected enlargement on right side of protraste. PDA was negative but I will have an MRI to rule out prostrate cancer. I believe it is unrelated to vaccine.

Release 10 — day 0, dose 3

2021-11-05

Systemic reaction (other): Prostate bunp. PSA notmal.MRI on 11/11
Healthcare visit (other): Urologist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCough ✓ · ✓
SDNasal congestion ✓ · ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ · ✓
SDProstatomegaly · · ✓
SROFeeling cold ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROProstatomegaly · · ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release