5SC-23289-69264
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YLD-31788-20245
Child or adolescent in my care · Male · 2021-10-30
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — day 7, dose 2MedDRA: Cough — Feeling: FairFree text: Dry coughing, mostly in the eveningsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Survey response — day 21, dose 2MedDRA: Cough — Feeling: GoodFree text: Dry cough; very sporadic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 42, dose 2MedDRA: Back pain, Musculoskeletal stiffness — Feeling: Fair · Be unable to workFree text: Stiff neck and upper back pain, mainly on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Back pain, Medical counselling, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Weight loss, lower back pain · Healthcare visit (other): 2ndary care facility.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 35, dose 3MedDRA: Abdominal discomfort, Headache, Influenza like illness, Pain — Feeling: Poor · Be unable to work or attend schoolFree text: Flu-like symptoms, possible sinus infection, body ache, headache, upset stomach, etc.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — day 42, dose 3MedDRA: Chills, Feeling hot, Influenza like illness, Pain, Productive cough, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had flu-like symptoms, body aches, sinus infection symptoms, productive coughs, felt feverish/chills though no actual feverMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Asthenia, Pain, SARS-CoV-2 test positive, Sinusitis — Feeling: Good · 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: Tested positive for COVID-19 on 1/6/22; body aches, weakness, sinus infection; worse during 1st week; better, and fairly quick recovery during 2nd week.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 3 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)
- 2022-01-31
- 2022-04-29
- 2022-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Dry coughing, mostly in the evenings
Release 5 — day 21, dose 2
Symptoms: Dry cough; very sporadic.
Release 7 — day 42, dose 2
Symptoms: Stiff neck and upper back pain, mainly on left side
Release 8 — 3 months, dose 2
Release 10 — day 35, dose 3
Symptoms: Flu-like symptoms, possible sinus infection, body ache, headache, upset stomach, etc.
Release 10 — day 42, dose 3
Symptoms: Had flu-like symptoms, body aches, sinus infection symptoms, productive coughs, felt feverish/chills though no actual fever
Release 11 — 3 months, dose 3
Symptoms: Tested positive for COVID-19 on 1/6/22; body aches, weakness, sinus infection; worse during 1st week; better, and fairly quick recovery during 2nd week.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release