65Q-60615-63028
5 vaccinations
15 coded responses
47 check-ins
15 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-29
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I feel greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Oxygen saturation decreased, Positive airway pressure therapy, Pre-existing disease — Feeling: Good · Site: Pain · FeverFree text: My blood oxygen in the mid 80 to 90% range but I sleep with a machine because of low levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Something wrong with your program it will not let me select none last answerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Everything seems normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: Your program will not allow me to choose none from the previous listMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Arm getting soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I feel great your program will not let me choose noneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None of the aboveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None of the aboveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None I feel greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-10-23
Dose 3 — ModernaCo-administered: Shingles
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-28
- 2021-12-04
- 2022-01-22
-
2022-04-07
Dose 4 — Moderna
- 2022-04-18
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: Cough, Diarrhoea, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A cold and I haven't had 1 in years it started around mid June and still have remnants of it . It caused fever diarrhea and bad coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Dose 5 — Moderna
- 2022-09-30
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-23 | Moderna | Shingles |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): I feel great
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My blood oxygen in the mid 80 to 90% range but I sleep with a machine because of low levels
Systemic reaction (other): Something wrong with your program it will not let me select none last answer
Systemic reaction (other): Everything seems normal
Systemic reaction (other): Your program will not allow me to choose none from the previous list
Systemic reaction (other): None
Release 3 — day 7, dose 1
Systemic reaction (other): None
Release 4 — day 0, dose 2
Systemic reaction (other): Arm getting sore
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I feel great your program will not let me choose none
Systemic reaction (other): None
Systemic reaction (other): None of the above
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): None of the above
Systemic reaction (other): None
Release 5 — day 7, dose 2
Systemic reaction (other): None I feel great
Release 12 — 3 months, dose 4
Symptoms: A cold and I haven't had 1 in years it started around mid June and still have remnants of it . It caused fever diarrhea and bad coughing
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Positive airway pressure therapy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release