5KF-17179-05518
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Last evening I felt sort of just not quite right.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — day 7, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tirednessFree text: I may be getting a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Very dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 2MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Last Friday evening I began feeling dizzy and my ears were ringing loudly and also had a loud roar. This lasted until this morning. Left ear is still ringing louder than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Carpal tunnel decompression, Hospitalisation, Office visit, Tendon sheath incision, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Left hand carpal tunnel surgery & LH middle finger trigger finger surgery. Hospitalized for severe vertigo attack. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-31
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-02
Survey response — 12 months, dose 2MedDRA: Oesophageal spasm — Feeling: GoodFree text: Esophageal spasmsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Last evening I felt sort of just not quite right.
Release 3 — day 7, dose 1
Systemic reaction (other): I may be getting a cold
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very dry mouth
Release 5 — day 14, dose 2
Symptoms: Last Friday evening I began feeling dizzy and my ears were ringing loudly and also had a loud roar. This lasted until this morning. Left ear is still ringing louder than usual.
Release 9 — 6 months, dose 2
Symptoms: Left hand carpal tunnel surgery & LH middle finger trigger finger surgery. Hospitalized for severe vertigo attack.
Healthcare visit (other): Office visit
Release 11 — 12 months, dose 2
Symptoms: Esophageal spasms
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 | Carpal tunnel decompression | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Oesophageal spasm | · | · | ✓ |
| SD | Tendon sheath incision | ✓ | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release