5XT-74559-23704
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 087 / NJ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe cold and cough it lasted for about 5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-16
Dose 3 — Moderna
- 2021-08-25
-
2021-11-16
Survey response — 3 months, dose 3MedDRA: Chills, Nasopharyngitis, Pain, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: We traveled to Arizona 09/25/21and returned to NJ on 10/05/21 - during our time away I had aches & chills which I thought was cold. When we got home I scheduled a COVID test which was positive l. I'm doing fine now.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-16
-
2022-02-14
Survey response — 6 months, dose 3MedDRA: Cough, Pain, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough , fever and body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-15
-
2022-08-16
Survey response — 12 months, dose 3MedDRA: Aspiration pleural cavity, Hospitalisation, Pleurisy, Pneumonia — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: I was diagnosed with Pneumonia & the final outcome was pleurisy. I had a 3 night stay in the hospital to have my right lung drained.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-08-17
- 2022-08-17
- 2022-08-17
- 2022-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — 3 months, dose 2
Symptoms: Severe cold and cough it lasted for about 5 days.
Release 10 — 3 months, dose 3
Symptoms: We traveled to Arizona 09/25/21and returned to NJ on 10/05/21 - during our time away I had aches & chills which I thought was cold. When we got home I scheduled a COVID test which was positive l. I'm doing fine now.
Release 11 — 6 months, dose 3
Symptoms: Cough , fever and body aches
Release 12 — 12 months, dose 3
Symptoms: I was diagnosed with Pneumonia & the final outcome was pleurisy. I had a 3 night stay in the hospital to have my right lung drained.
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 | Aspiration pleural cavity | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pleurisy | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release