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5W3-12519-54312

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
279 / NC
Registered
2021-03-06
Relationship
Self
Race
Other
Ethnicity
N/A

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Moderna
  3. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Condition aggravated, Neoplasm malignant, Pain, Pre-existing disease, Stoma site reaction — Feeling: Fair
    Free text: I got cancer again. My g tube is killing This i my first survey others did not work it said oops something went wrong
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-04-03
    Dose 2 — Moderna
  6. 2021-04-03
    Survey response — day 0, dose 2
    MedDRA: Chemotherapy, Pre-existing disease — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: My symptoms are not shot induced i am goi g through chemotherapy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  9. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Nausea — Feeling: Fair · Site: Pain · Nausea, Diarrhea
    Free text: The nause and diarrhea could be from my cancer meds same symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Retching — Feeling: Fair
    Free text: Dry heaves
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Diarrhoea, Nausea, Pre-existing disease, Vomiting — Feeling: Poor · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Nausea vomiting diarrhea and abdominal pain could be from the chemo treatment i am taking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-10
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities
    Free text: Symptoms go along with my chemo symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-24
    Survey response — day 21, dose 2
    MedDRA: Chemotherapy — Feeling: Good · Be unable to work
    Free text: All chemotherapy related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-01
    Survey response — day 28, dose 2
    MedDRA: Adverse drug reaction, Chemotherapy — Feeling: Poor
    Free text: All chemotherapy treatment problems
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-16
    Survey response — day 42, dose 2
    MedDRA: Neoplasm malignant — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Cancer problems
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Free text

Release 6 — day 14, dose 1

2021-03-22

Symptoms: I got cancer again. My g tube is killing This i my first survey others did not work it said oops something went wrong

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): My symptoms are not shot induced i am goi g through chemotherapy

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): The nause and diarrhea could be from my cancer meds same symptoms

2021-04-08

Systemic reaction (other): Dry heaves

2021-04-09

Systemic reaction (other): Nausea vomiting diarrhea and abdominal pain could be from the chemo treatment i am taking

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): Symptoms go along with my chemo symptoms

Release 7 — day 21, dose 2

2021-04-24

Symptoms: All chemotherapy related

Release 8 — day 28, dose 2

2021-05-01

Symptoms: All chemotherapy treatment problems

Release 8 — day 42, dose 2

2021-05-16

Symptoms: Cancer problems

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
SDAdverse drug reaction · · ✓
SDChemotherapy ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDNeoplasm malignant ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDStoma site reaction ○ ✓ ○
SROAbdominal pain ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROChemotherapy ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORetching ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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

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