63A-20928-96970
3 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Unusual mild itching without rash on back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Mild itching on more body areas than yesterday. Both arms and legs and back. No rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-08-30
-
2021-11-23
Dose 3 — Moderna
-
2022-03-01
Survey response — 12 months, dose 2MedDRA: Allergy to chemicals, Hypersensitivity, Urticaria — Feeling: Good · Be unable to work or attend school, 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: Major allergic reaction to memory foam furniture. Severe hives only, no respiratory symptoms. 3 weeks after booster. Almost completely resolved now after 3 courses of oral steroids and antihistamines. Never had similar reaction previously.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-03
-
2022-11-23
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had COVID-19 at the end of August.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Unusual mild itching without rash on back.
Systemic reaction (other): Mild itching on more body areas than yesterday. Both arms and legs and back. No rash.
Release 11 — 12 months, dose 2
Symptoms: Major allergic reaction to memory foam furniture. Severe hives only, no respiratory symptoms. 3 weeks after booster. Almost completely resolved now after 3 courses of oral steroids and antihistamines. Never had similar reaction previously.
Release 12 — 12 months, dose 3
Symptoms: I had COVID-19 at the end of August.
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 | Allergy to chemicals | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release