6ED-75321-68890
5 vaccinations
6 coded responses
38 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 566 / MN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
-
2021-02-05
Survey response — day 0, dose 1MedDRA: Chills — Feeling: Good · Site: Pain · ChillsFree text: Chills. Could be the weather we are having right now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-03
- 2021-04-09
- 2021-04-18
-
2021-06-04
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had diarrhea and vomiting at the same time for 7 straight days. Doctor said my vital signs were good and he did not suspect COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Emergency care, Malaise, Vomiting — 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 · Emergency room or emergency department visitFree text: Diarrhea and vomiting at the same time for a week. Thought death was imminent. ER decided not to test for COVID. Took 9 days to feel normal again.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 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 pr1 call case(s)
- 2021-09-07
-
2021-12-07
Dose 3 — Pfizer-BioNTechCo-administered: Flu:Shingles
- 2022-03-05
- 2022-06-07
-
2022-06-08
Dose 4 — Other-UnknownCo-administered: Shingles:Tetanus
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-10-06
Dose 5 — Other-UnknownCo-administered: Flu
-
2022-10-15
Survey response — day 7, dose 5MedDRA: Joint swelling, Pain in extremity — Feeling: Good · Muscle or body achesFree text: My arm was sore and shoulder was swollen for 3 days after the shot. But it's fine now.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — day 14, dose 5MedDRA: Mobility decreased, Pain in extremity — Feeling: GoodFree text: I still have a sore arm. I can't lift above my head.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
-
2023-04-06
Survey response — 6 months, dose 5MedDRA: Injection site pain, Office visit, Pain in extremity — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-07 | Pfizer-BioNTech | Flu:Shingles |
| 4 | 2022-06-08 | Other-Unknown | Shingles:Tetanus |
| 5 | 2022-10-06 | Other-Unknown | Flu |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Chills. Could be the weather we are having right now.
Release 8 — 3 months, dose 2
Symptoms: I had diarrhea and vomiting at the same time for 7 straight days. Doctor said my vital signs were good and he did not suspect COVID.
Release 9 — 6 months, dose 2
Symptoms: Diarrhea and vomiting at the same time for a week. Thought death was imminent. ER decided not to test for COVID. Took 9 days to feel normal again.
Release 12 — day 7, dose 5
Systemic reaction (other): My arm was sore and shoulder was swollen for 3 days after the shot. But it's fine now.
Release 12 — day 14, dose 5
Symptoms: I still have a sore arm. I can't lift above my head.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release