68T-57315-81042
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Coordination abnormal, Fatigue — Feeling: GoodFree text: Looking back on when i had the shot, I played golf on Sunday and felt fine but by the end of the round lost complete coordination and could not hit the ball! Obviously fatigue at it and i did not recognize it!!!! Played golf today (Tuesday) and was one of the better rounds i had played in a long time so 4 days later no fatigue!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-03
- 2021-04-10
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: none feel good! only pain was the injection as the nurse pushed in the needle instead of just jabbing! Most painful injection i have ever had! my wife also had the same experience with the same person administering the vaccine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-28
- 2021-05-03
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
-
2021-10-23
Survey response — 6 months, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree text: Sore throat, runny nose, sneezing, coughing and congestion in chest! Had a quick test for covid which was negative! Lasted 10 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Looking back on when i had the shot, I played golf on Sunday and felt fine but by the end of the round lost complete coordination and could not hit the ball! Obviously fatigue at it and i did not recognize it!!!! Played golf today (Tuesday) and was one of the better rounds i had played in a long time so 4 days later no fatigue!!!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): none feel good! only pain was the injection as the nurse pushed in the needle instead of just jabbing! Most painful injection i have ever had! my wife also had the same experience with the same person administering the vaccine!
Release 10 — 6 months, dose 2
Symptoms: Sore throat, runny nose, sneezing, coughing and congestion in chest! Had a quick test for covid which was negative! Lasted 10 days
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Coordination abnormal | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release