5HD-31037-03031
3 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 773 / TX
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chronic condition with my left heel. A bone spur has reopened my wound on my heel. I don't think vaccine related. Likely due to increased activity/walking. · Healthcare visit (other): Podiatrist office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Cellulitis — Feeling: FairFree text: Cellulitis in left calf. Taking 10 day course of antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-08-12
- 2021-09-03
-
2021-09-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-11-02
- 2021-11-08
- 2021-11-15
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Headache, Nausea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a sore throat, headache, slightly queasy stomach for a few days. Never felt feverish. Did not check my temperature. I avoided going out of the house for a few days and being around anyone. Just in case.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-07
- 2022-01-24
- 2022-04-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: Chronic condition with my left heel. A bone spur has reopened my wound on my heel. I don't think vaccine related. Likely due to increased activity/walking.
Healthcare visit (other): Podiatrist office visit
Release 6 — day 42, dose 2
Symptoms: Cellulitis in left calf. Taking 10 day course of antibiotics.
Release 10 — day 28, dose 3
Symptoms: Had a sore throat, headache, slightly queasy stomach for a few days. Never felt feverish. Did not check my temperature. I avoided going out of the house for a few days and being around anyone. Just in case.
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 | Cellulitis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release