5ME-26839-89565
5 vaccinations
7 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 454 / OH
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-19
- 2021-02-20
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Erythema, Injection site erythema, Injection site pruritus — Feeling: GoodFree text: On the 8th day after injection, my arm was red at injection site and itched. Still a little red today but faded. Only appeared at day 8.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Heart rate was slighted elevated yesterday from my normal but under 90 bpm. Fine todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-25
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: I've had redness and swelling on my upper arm around injection site for 3 days after vaccination. Just starting to subside.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: ItchingFree text: Just a little tenderness at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Hypersensitivity, Lacrimation increased, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezing and watery eyes consistent with my extrinsic allergies to dust and pollen. Symptoms are worse than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-04-27
Dose 4 — Moderna
-
2022-05-18
Survey response — day 21, dose 4MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had chills and a low grade fever the day after my 4th Covid Vaccine. The next day I was fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-26
Dose 5 — ModernaCo-administered: Flu
- 2022-10-22
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
-
2023-03-27
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-27
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-28
-
2023-03-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
| 5 | 2022-09-26 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 14, dose 1
Symptoms: On the 8th day after injection, my arm was red at injection site and itched. Still a little red today but faded. Only appeared at day 8.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Heart rate was slighted elevated yesterday from my normal but under 90 bpm. Fine today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I've had redness and swelling on my upper arm around injection site for 3 days after vaccination. Just starting to subside.
Systemic reaction (other): Just a little tenderness at injection site
Release 10 — day 14, dose 3
Symptoms: Runny nose, sneezing and watery eyes consistent with my extrinsic allergies to dust and pollen. Symptoms are worse than usual.
Release 11 — day 21, dose 4
Symptoms: I had chills and a low grade fever the day after my 4th Covid Vaccine. The next day I was fine.
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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release