5FZ-12228-58901
3 vaccinations
6 coded responses
37 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 180 / PA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: sore throat in eveningsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: My record does not show an expiration date but another persons card shows expiration 7/20/21. Why is that?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Groin pain — Feeling: FairFree text: I have had light pain in the groin area that I think began about two weeks ago. Did not pay much attention to it or relate to vaccine. More concern as it continues. Could this be related to vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Dysuria, Micturition urgency, Urine flow decreased — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Difficult to pee - strong urge very little flow with burning painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-16
-
2021-03-22
Survey response — day 21, dose 2MedDRA: Arthralgia, Headache — Feeling: GoodFree text: Sore joints, occasional brief head acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-09-01
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-04
- 2021-11-12
- 2021-11-18
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2022-01-31
-
2022-10-27
Survey response — 12 months, dose 3MedDRA: Dysuria — Feeling: GoodFree text: Trouble urinating - not related to COVID or cscinrMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): sore throat in evenings
Systemic reaction (other): My record does not show an expiration date but another persons card shows expiration 7/20/21. Why is that?
Release 4 — day 14, dose 1
Symptoms: I have had light pain in the groin area that I think began about two weeks ago. Did not pay much attention to it or relate to vaccine. More concern as it continues. Could this be related to vaccine?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Difficult to pee - strong urge very little flow with burning pain
Release 6 — day 21, dose 2
Symptoms: Sore joints, occasional brief head ache
Release 12 — 12 months, dose 3
Symptoms: Trouble urinating - not related to COVID or cscinr
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dysuria | · | · | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Dysuria | ✓ | ✓ | ✓ |
| SRO | Micturition urgency | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urine flow decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release