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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

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Dose 2 — Moderna
  4. 2021-04-01
    Survey response — day 0, dose 2
    MedDRA: Pain, Somnolence — Feeling: Good · Site: Pain
    Free 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 presidents
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Thanks APH , CDC and STATES policies for vaccines
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain, Office visit — Feeling: Good
    Free 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 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-09-30
    Survey response — 6 months, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I am OK nowEveryday I have to use some medicine such as AmlodipAtorvastatinFinasteridePantoprazol
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-01
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 medicines
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-01
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2022-04-04
  14. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-04-01Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-04-01

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

2021-04-07

Systemic reaction (other): Thanks APH , CDC and STATES policies for vaccines

Release 9 — 3 months, dose 2

2021-07-01

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

2021-09-30

Symptoms: I am OK nowEveryday I have to use some medicine such as AmlodipAtorvastatinFinasteridePantoprazol

Release 11 — 12 months, dose 2

2022-04-01

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAbdominal pain ✓ ✓ ✓
SDFatigue · · ✓
SDOffice visit ✓ ✓ ✓
SDUnevaluable event · · ✓
SROPain ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release