5CZ-10909-72226
5 vaccinations
3 coded responses
62 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Biopsy bladder abnormal, Carcinoma in situ, Cystoscopy abnormal, Surgery, Transurethral bladder resection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a cystoscopy and noticed CIS. Had TURBT performed, pathology was cancerous. Have another cystoscopy scheduled for mid Oct. If additional CIS are noted will schedule another TURBT and Chemotherapy. · Healthcare visit (other): Urology and one day surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
- 2021-09-08
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
-
2022-05-23
Survey response — day 35, dose 4MedDRA: Cough, Dysphonia, Fatigue, Insomnia, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 100.6 deg temp, cough, raspy throat, fatigue, difficulty sleeping for about 4 days. All symptoms gone except for the cough and raspy throat. Did covid at home test, results were a negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Survey response — day 42, dose 4MedDRA: Cough, Lower respiratory tract congestion, Lower respiratory tract infection — Feeling: FairFree text: Seem to have a chest cold or infection. Can not seem to get rid of a nagging cough and congestion deep in my bronchial systemMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
- 2022-10-17
-
2022-10-18
Dose 5 — ModernaCo-administered: Flu
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: Had a cystoscopy and noticed CIS. Had TURBT performed, pathology was cancerous. Have another cystoscopy scheduled for mid Oct. If additional CIS are noted will schedule another TURBT and Chemotherapy.
Healthcare visit (other): Urology and one day surgery
Release 11 — day 35, dose 4
Symptoms: 100.6 deg temp, cough, raspy throat, fatigue, difficulty sleeping for about 4 days. All symptoms gone except for the cough and raspy throat. Did covid at home test, results were a negative.
Release 11 — day 42, dose 4
Symptoms: Seem to have a chest cold or infection. Can not seem to get rid of a nagging cough and congestion deep in my bronchial system
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 | Surgery | ✓ | · | ✓ |
| SD | Biopsy bladder abnormal | ✓ | · | ✓ |
| SD | Carcinoma in situ | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Cystoscopy abnormal | ✓ | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lower respiratory tract congestion | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Transurethral bladder resection | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release