5L9-27577-81587
3 vaccinations
4 coded responses
20 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 838 / ID
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 21, dose 1MedDRA: Rhinorrhoea — Feeling: FairFree text: A runny nose. If you stiffness .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Dose 2 — Moderna
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: GoodFree text: I get tired quicker and have a constant early morning Mucus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-09-28
-
2021-11-30
Dose 3 — Moderna
- 2022-03-31
-
2022-06-01
Survey response — 6 months, dose 3MedDRA: Localised infection, Myalgia, Obstructive airways disorder, Office visit, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Tightness in bronchial tubes, infection in nasal , muscle aches, clear a running fluid from nose · Healthcare visit (other): (b)(6) allergy clinicMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-02
-
2022-12-02
Survey response — 12 months, dose 3MedDRA: Eye discharge, Nasopharyngitis, Oropharyngeal pain, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a cold sore throat for one day lots of sinus and drainage from the eyes. Then it would move from the chest to the throat to the head sinus areas for about three weeks now it's breaking up and feeling betterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: A runny nose. If you stiffness .
Release 8 — day 42, dose 2
Symptoms: I get tired quicker and have a constant early morning Mucus.
Release 11 — 6 months, dose 3
Symptoms: Tightness in bronchial tubes, infection in nasal , muscle aches, clear a running fluid from nose
Healthcare visit (other): (b)(6) allergy clinic
redacted (b)(6)
Release 12 — 12 months, dose 3
Symptoms: I have a cold sore throat for one day lots of sinus and drainage from the eyes. Then it would move from the chest to the throat to the head sinus areas for about three weeks now it's breaking up and feeling better
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 | Eye discharge | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Obstructive airways disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release