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
-
2021-03-24
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-23
Dose 2 — Moderna
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Influenza like illness, Pain, Pyrexia — Feeling: GoodFree text: On 4/14 had fever, felt cold and body aches as if I had the flu. Symptoms went away around 10 PMMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-06-04
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: FairFree 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 congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-24
Survey response — 6 months, dose 2MedDRA: Office visit, Prostatomegaly — Feeling: GoodFree 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
-
2021-11-05
Dose 3 — Moderna
-
2021-11-05
Survey response — day 0, dose 3MedDRA: Office visit, Prostatomegaly — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Prostate bunp. PSA notmal.MRI on 11/11 · Healthcare visit (other): UrologistMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Report sent to call center — day 0, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-10
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-19
- 2022-02-04
- 2022-05-06
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Prostatomegaly | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Prostatomegaly | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release