5C6-33878-22097
4 vaccinations
5 coded responses
42 check-ins
5 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Pneumonia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I have aspirational pneumonia not having anything to do with the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Pneumonia aspiration — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: I had aspirational pneumonia which had nothing to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-08-21
Dose 3 — Moderna
-
2021-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-11-20
-
2022-02-19
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Covid positive Cold like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-19
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-18
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-06-03
- 2022-06-08
-
2022-06-15
Survey response — day 28, dose 4MedDRA: Dizziness, Medical counselling, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have seemed to having short episodes 15-20 seconds) where I get blurry vision and lightheadedness. · Healthcare visit (other): Spoke to one of my Dr's and he suggested I reached out to a neurologist surgeon I have spoken with before.MedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-06-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-22
- 2022-06-29
-
2022-08-17
Survey response — 3 months, dose 4MedDRA: Retinal vein occlusion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I experienced Central Retinal Vein Occlusion in my left eye. Nobody has said it is related to Covid. Except my 50 year old nephew had it after Covid and the retinal doctor mentioned it could be related. Mine seems to be getting better, slowly.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-17
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-08-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-17
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-08-21 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
Call center
5 call center cases
5 successful
Free text
Release 5 — day 21, dose 2
Symptoms: I have aspirational pneumonia not having anything to do with the vaccination
Release 5 — day 28, dose 2
Symptoms: I had aspirational pneumonia which had nothing to do with the vaccine
Release 11 — 6 months, dose 3
Symptoms: Covid positive Cold like symptoms
Release 12 — day 28, dose 4
Symptoms: I have seemed to having short episodes 15-20 seconds) where I get blurry vision and lightheadedness.
Healthcare visit (other): Spoke to one of my Dr's and he suggested I reached out to a neurologist surgeon I have spoken with before.
Release 12 — 3 months, dose 4
Symptoms: I experienced Central Retinal Vein Occlusion in my left eye. Nobody has said it is related to Covid. Except my 50 year old nephew had it after Covid and the retinal doctor mentioned it could be related. Mine seems to be getting better, slowly.
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 | Medical counselling | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pneumonia aspiration | ✓ | ✓ | ✓ |
| SD | Retinal vein occlusion | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release