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5DS-15485-04706

1 vaccination 3 coded responses 10 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
334 / FL
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Moderna
  3. 2021-02-03
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased, Dry mouth — Feeling: Fair · Fatigue or tiredness
    Free text: I took my blood sugar late afternoon because i felt weak thinking it was low. but it was the opposite it was higher at 265 also my mouth was dry i am going to oncrese my water intakete
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat irritation — Feeling: Good
    Free text: My throat felt a little scratcy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-17
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I went to my family doctor today informing him that i feel fatigued for a while and my sinius I also informed him that i took the 2nd shot 2 weeks ago...he perscribed an antibiotic augmentin 875 for 7 days possible sinus infection. Not sure if this · Healthcare visit (other): Family doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-17
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-08-05

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): I took my blood sugar late afternoon because i felt weak thinking it was low. but it was the opposite it was higher at 265 also my mouth was dry i am going to oncrese my water intakete

2021-02-08

Systemic reaction (other): My throat felt a little scratcy

Release 4 — day 14, dose 1

2021-02-17

Symptoms: I went to my family doctor today informing him that i feel fatigued for a while and my sinius I also informed him that i took the 2nd shot 2 weeks ago...he perscribed an antibiotic augmentin 875 for 7 days possible sinus infection. Not sure if this cut off by CDC
Healthcare visit (other): Family doctor

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 ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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