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
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Dry mouth — Feeling: Fair · Fatigue or tirednessFree 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 intaketeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: GoodFree text: My throat felt a little scratcyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 1MedDRA: Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
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
Systemic reaction (other): My throat felt a little scratcy
Release 4 — day 14, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release