5WT-26031-12334
5 vaccinations
14 coded responses
62 check-ins
14 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 151 / PA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis, Nasal congestion, Pre-existing disease, Respiratory tract congestion — Feeling: FairFree text: Some sweating from my feet & belly area. I had a electric blanket in use. My feet & ankles are often often swollen from excess water, but last night they sweated slot ( sheets were damp ). Very mild chest congestion, but I occasionally get that. I may have eaten some bad pizza before going to bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: FairFree text: Some congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 7, dose 1MedDRA: Taste disorder — Feeling: FairFree text: Food doesn't seem to taste like usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-03-19
Dose 2 — Moderna
- 2021-03-19
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I didn't get any sleep the night before, so I think that contributed to it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesFree text: Feeling better than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-19
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2021-11-03
Dose 3 — Moderna
- 2021-11-03
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body achesAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-11-06
- 2021-11-07
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 28, dose 3MedDRA: Sinus congestion — Feeling: FairFree text: A little clogged up in the sinusesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
- 2022-02-02
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2022-05-04
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Tested positive for Covid about April 14.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-05
Call successfulCompleted over the phone
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2022-09-21
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-21
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Fever · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text:MedDRA releases: 2024-11 · check-in free text available
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2022-09-25
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
- 2023-03-22
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2023-05-05
Dose 5 — Moderna
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2023-05-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2023-05-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2023-05-10
- 2023-05-12
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-09-21 | Pfizer-BioNTech | Flu |
| 5 | 2023-05-05 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Some sweating from my feet & belly area. I had a electric blanket in use. My feet & ankles are often often swollen from excess water, but last night they sweated slot ( sheets were damp ). Very mild chest congestion, but I occasionally get that. I may have eaten some bad pizza before going to bed.
Systemic reaction (other): Some congestion
Release 4 — day 7, dose 1
Systemic reaction (other): Food doesn't seem to taste like usual.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I didn't get any sleep the night before, so I think that contributed to it.
Systemic reaction (other): Feeling better than yesterday
Systemic reaction (other): No
Systemic reaction (other): None
Release 10 — day 28, dose 3
Symptoms: A little clogged up in the sinuses
Release 11 — 6 months, dose 3
Symptoms: Tested positive for Covid about April 14.
Release 12 — day 0, dose 4
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): No
Systemic reaction (other): No
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ○ | ✓ | ○ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release