5VD-59488-12426
4 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 068 / CT
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-03-13
Dose 2 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-04
-
2021-04-10
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat for 2 days. Could be attributable to heavy tree pollen in my area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-30
Dose 3 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-05-02
Dose 4 — Moderna
-
2022-05-02
Survey response — day 0, dose 4MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: I felt a little dizzy after getting shot, but that may be attributable to not being asked to wait 10 minutes as I was asked all prior times. Dizziness went away completely in about 20 minutes.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
-
2022-05-16
Survey response — day 14, dose 4MedDRA: Ligament sprain — Feeling: GoodFree text: Sprained right wristMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-06-01
- 2022-06-07
- 2022-06-13
-
2022-08-01
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2 — Feeling: GoodFree text: I took a cruise the week starting July 1, 2022 with 6,700 passengers that left (b)(6), stopped at (b)(6), went to Caribbean and then returned home. About 25% of cruisers contacted COVID including my wife, but I did not get it despite numerous exposures.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Survey response — 6 months, dose 4MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: GoodFree text: Went on a cruise week of July 1 with 8 family members. 4 of 8 contracted COVID (including my wife) and I was apparently exposed but never tested positive or felt sick. All 9 were fully vaccinated.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
Free text
Release 7 — day 28, dose 2
Symptoms: Sore throat for 2 days. Could be attributable to heavy tree pollen in my area.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): None
Release 11 — day 0, dose 4
Systemic reaction (other): I felt a little dizzy after getting shot, but that may be attributable to not being asked to wait 10 minutes as I was asked all prior times. Dizziness went away completely in about 20 minutes.
Release 11 — day 14, dose 4
Symptoms: Sprained right wrist
Release 12 — 3 months, dose 4
Symptoms: I took a cruise the week starting July 1, 2022 with 6,700 passengers that left (b)(6), stopped at (b)(6), went to Caribbean and then returned home. About 25% of cruisers contacted COVID including my wife, but I did not get it despite numerous exposures. cut off by CDC
redacted (b)(6)
Release 12 — 6 months, dose 4
Symptoms: Went on a cruise week of July 1 with 8 family members. 4 of 8 contracted COVID (including my wife) and I was apparently exposed but never tested positive or felt sick. All 9 were fully vaccinated.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release