5DG-31924-92134
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-15
-
2021-05-21
Dose 2 — Moderna
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-27
- 2021-05-28
- 2021-06-06
- 2021-06-11
-
2021-06-18
Survey response — day 28, dose 2MedDRA: Fatigue, Feeling abnormal, Malaise — Feeling: FairFree text: Tired, slight overwhelming feeling, malise.Suspect having a standard Rx for BPH not being filled by ins. Slight withdrawals?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-25
- 2021-07-02
- 2021-08-20
-
2021-11-21
Survey response — 6 months, dose 2MedDRA: Anosmia, Initial insomnia, Parosmia — Feeling: FairFree text: Still poor to no taste or smell but lately, I would get a strong smell of food burning or cinnamon But no such odor was actually present. Also work 2nd shift, difficulty in falling asleep after taking melatonin.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Survey response — 12 months, dose 2MedDRA: Medical counselling, Physiotherapy, Tendon injury — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Left knee interior tendon stretched. Physical therapy resolved it. · Healthcare visit (other): 2nd consultation & physical therapy.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 28, dose 2
Symptoms: Tired, slight overwhelming feeling, malise.Suspect having a standard Rx for BPH not being filled by ins. Slight withdrawals?
Release 10 — 6 months, dose 2
Symptoms: Still poor to no taste or smell but lately, I would get a strong smell of food burning or cinnamon But no such odor was actually present. Also work 2nd shift, difficulty in falling asleep after taking melatonin.
Release 11 — 12 months, dose 2
Symptoms: Left knee interior tendon stretched. Physical therapy resolved it.
Healthcare visit (other): 2nd consultation & physical therapy.
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Initial insomnia | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Tendon injury | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release