66L-31273-18359
5 vaccinations
4 coded responses
40 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 856 / AZ
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Hangover — Feeling: Good · Site: PainFree text: A vague feeling like the end of a hang-over but not enough to call it a headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-11-08
Dose 3 — Moderna
- 2022-02-08
-
2022-04-06
Dose 4 — Moderna
- 2022-04-25
- 2022-04-29
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-07
-
2022-09-19
Dose 5 — Moderna
- 2022-10-05
- 2022-10-05
- 2022-10-10
- 2022-10-17
- 2022-10-24
-
2022-10-31
Survey response — day 42, dose 5MedDRA: Blood pressure decreased, Dyspepsia, Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach issues, poor digestion. Low blood pressure. · Healthcare visit (other): Doctor office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-02
Call successfulNot applicable - Accidental Reporting
-
2022-12-19
Survey response — 3 months, dose 5MedDRA: Influenza like illness, Respiratory disorder, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive Covid 5 Dec, still positive. Major problem is similar to stomach flu. Respiratory problem is light to moderate. Have used oxygen 24/7 for app. 5 years. Thought that would be my weak point. Primary care/others no help. Vax good.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-20
Survey response — 6 months, dose 5MedDRA: Tendonitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-20
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): A vague feeling like the end of a hang-over but not enough to call it a headache.
Release 12 — day 42, dose 5
Symptoms: Stomach issues, poor digestion. Low blood pressure.
Healthcare visit (other): Doctor office visit.
Release 12 — 3 months, dose 5
Symptoms: Tested positive Covid 5 Dec, still positive. Major problem is similar to stomach flu. Respiratory problem is light to moderate. Have used oxygen 24/7 for app. 5 years. Thought that would be my weak point. Primary care/others no help. Vax good. cut off by CDC
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 | Blood pressure decreased | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SRO | Hangover | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release