5WQ-19370-81426
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 230 / VA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-12
Dose 2 — Moderna
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I have seasonal allergies - not sure if the sensitivity in seeing has any connection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-18
-
2021-04-21
Survey response — day 7, dose 2MedDRA: Lymphadenitis — Feeling: GoodFree text: Sunday I discovered a protrusion on my left groin that the Dr reported Monday was inflamed lymph nodes. On my second day of 5 days of prednisone..swelling down - no discomfort or other symptoms to note.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
-
2021-05-03
Survey response — day 21, dose 2MedDRA: Haemorrhoids, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A hemorrhoid was discovered that was not the result of constipation. The hemorrhoid has been diminishing in size each day. · Healthcare visit (other): Pcp visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
- 2021-05-17
- 2021-05-24
- 2021-07-18
- 2021-10-11
- 2022-04-12
-
2022-04-15
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have seasonal allergies - not sure if the sensitivity in seeing has any connection.
Release 7 — day 7, dose 2
Systemic reaction (other): Sunday I discovered a protrusion on my left groin that the Dr reported Monday was inflamed lymph nodes. On my second day of 5 days of prednisone..swelling down - no discomfort or other symptoms to note.
Release 8 — day 21, dose 2
Symptoms: A hemorrhoid was discovered that was not the result of constipation. The hemorrhoid has been diminishing in size each day.
Healthcare visit (other): Pcp visit
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Haemorrhoids | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release