5R9-10443-61109
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-23
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-29
Survey response — day 35, dose 2MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: A little bit of a cold, congestion and coughing whenever I lie down. I believe I caught some bug from my grandchildren.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-06-22
- 2021-09-22
-
2021-10-31
Dose 3 — Moderna
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
-
2021-11-28
Survey response — day 28, dose 3MedDRA: Arthralgia, Exposure to SARS-CoV-2, Medical counselling, Oropharyngeal pain, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Intermittent sore throat, sneezing, joint pain. · Healthcare visit (other): Spoke with doctor outside of office. Subsequent to the above issues I came in close contact with a person who later was confirmed with covid-19. My doctor wishes me to go for a test on Tuesday or wednesday.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
- 2021-12-05
- 2021-12-13
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, cough, sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Survey response — 6 months, dose 3MedDRA: Cough, Dizziness, Headache, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Headache, coughing, congestion, dizziness, pain all over · Healthcare visit (other): Monoclonal antibody infusionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-02
-
2022-05-02
Call successfulNot applicable - Accidental Reporting
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 35, dose 2
Symptoms: A little bit of a cold, congestion and coughing whenever I lie down. I believe I caught some bug from my grandchildren.
Release 10 — day 28, dose 3
Symptoms: Intermittent sore throat, sneezing, joint pain.
Healthcare visit (other): Spoke with doctor outside of office. Subsequent to the above issues I came in close contact with a person who later was confirmed with covid-19. My doctor wishes me to go for a test on Tuesday or wednesday.
Release 11 — 3 months, dose 3
Symptoms: Runny nose, cough, sore throat.
Release 11 — 6 months, dose 3
Symptoms: Headache, coughing, congestion, dizziness, pain all over
Healthcare visit (other): Monoclonal antibody infusion
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release