5NX-11115-06347
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Survey response — day 0, dose 2MedDRA: Pain, Somnolence — Feeling: Good · Site: PainFree text: Little pain and sleepy after 2 COVID 19 vaccine shot about later 2 hours, but I think that my body has to react on receiving vaccination. And really it is normal. Once more thanks APH, Drs, Nurses and volunteers and so much more thanks to 2 presidentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Thanks APH , CDC and STATES policies for vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Office visit — Feeling: GoodFree text: I am OK now but with little abdominal pain because of bad or cold fooddI had an appointment with my dr family with descriptions for abdominal pain for 8 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: I am OK nowEveryday I have to use some medicine such as AmlodipAtorvastatinFinasteridePantoprazolMedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Fatigue, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Some days ago I felt exhausted in the morning but gradually I got better after 2 hours · Healthcare visit (other): Daily using reduce high blood medicinesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-04
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Little pain and sleepy after 2 COVID 19 vaccine shot about later 2 hours, but I think that my body has to react on receiving vaccination. And really it is normal. Once more thanks APH, Drs, Nurses and volunteers and so much more thanks to 2 presidents
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Thanks APH , CDC and STATES policies for vaccines
Release 9 — 3 months, dose 2
Symptoms: I am OK now but with little abdominal pain because of bad or cold fooddI had an appointment with my dr family with descriptions for abdominal pain for 8 days
Release 9 — 6 months, dose 2
Symptoms: I am OK nowEveryday I have to use some medicine such as AmlodipAtorvastatinFinasteridePantoprazol
Release 11 — 12 months, dose 2
Symptoms: Some days ago I felt exhausted in the morning but gradually I got better after 2 hours
Healthcare visit (other): Daily using reduce high blood medicines
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release