5M3-44322-41386
3 vaccinations
11 coded responses
34 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 693 / NE
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Very mild soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
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2021-03-31
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Nothing yet but its only been 1 hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Site: Pain, Swelling · FeverFree text: The fever was in the night, i woke up sweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
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2021-04-07
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · NauseaFree text: I don't think this is covid relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 35, dose 2MedDRA: Cough, Dyspnoea — Feeling: FairFree text: Shortness of breath and cough continue but i don't know if it is covid related. And i definitely don't think it is vaccine related. I had a bout with covid in August and was in hospital 6 days. This could be lingering effects, but just don't knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-06-30
- 2021-09-29
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2021-10-25
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: Cant say if that is truely related thoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Don't think these are vax relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
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2021-11-22
Survey response — day 28, dose 3MedDRA: Cough — Feeling: GoodFree text: Have developed a cough, but cant say it is vaccine relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
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2021-12-06
Survey response — day 42, dose 3MedDRA: Cough, Nasopharyngitis, Pre-existing disease — Feeling: GoodFree text: Mild cough, probably seasonal allergies or mild cold virusMedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
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2022-04-25
Survey response — 6 months, dose 3MedDRA: Cough, Discharge, Pre-existing disease — Feeling: FairFree text: Allergies! Drainage, cough etc.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — 12 months, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, sore throat, runny nose, stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild soreness at injection site
Release 6 — day 0, dose 2
Systemic reaction (other): Nothing yet but its only been 1 hour
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The fever was in the night, i woke up sweating
Release 7 — day 7, dose 2
Systemic reaction (other): I don't think this is covid related
Release 8 — day 35, dose 2
Symptoms: Shortness of breath and cough continue but i don't know if it is covid related. And i definitely don't think it is vaccine related. I had a bout with covid in August and was in hospital 6 days. This could be lingering effects, but just don't know cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cant say if that is truely related tho
Systemic reaction (other): Don't think these are vax related
Release 10 — day 28, dose 3
Symptoms: Have developed a cough, but cant say it is vaccine related
Release 10 — day 42, dose 3
Symptoms: Mild cough, probably seasonal allergies or mild cold virus
Release 11 — 6 months, dose 3
Symptoms: Allergies! Drainage, cough etc.
Release 12 — 12 months, dose 3
Symptoms: Cough, sore throat, runny nose, stuffy nose
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 | Cough | ✓ | ✓ | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release