6HF-16624-29039
4 vaccinations
6 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 337 / FL
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
T23-55738-32046
Adult relative or friend · Female · 2022-09-24
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Arm is less sore than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: When I woke up I was drenched in sweat. Did not have a fever. All back to normal within about 15 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-27
- 2021-09-24
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-09
- 2021-11-11
-
2021-11-17
Survey response — day 14, dose 3MedDRA: Hordeolum — Feeling: GoodFree text: I got a stye on my eye. Treating with hot compressor seems to be solving the issueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
-
2021-12-01
Survey response — day 28, dose 3MedDRA: Hordeolum, Impaired healing, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sty on my eye Treated with antibiotic and hot compress, but is slow to respond · Healthcare visit (other): Doctor officeMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-03
- 2021-12-08
- 2021-12-08
- 2021-12-08
- 2021-12-15
-
2022-02-02
Survey response — 3 months, dose 3MedDRA: Bronchitis, Headache, Office visit, Pyrexia, Rhinorrhoea — Feeling: GoodFree text: High fever one-night, headache, drippy nose. Doctor consult said probably not covid. Next day became bronchitis which lasted about 2 weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
-
2022-09-23
Dose 4 — ModernaCo-administered: Flu
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 4MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation — Feeling: GoodFree text: Drippy nose, irritated throat, but no fever. Home tested positive for covid last week. After 6 days home tested negative.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-09-23 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm is less sore than yesterday
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): When I woke up I was drenched in sweat. Did not have a fever. All back to normal within about 15 minutes.
Release 10 — day 14, dose 3
Symptoms: I got a stye on my eye. Treating with hot compressor seems to be solving the issue
Release 10 — day 28, dose 3
Symptoms: Sty on my eye Treated with antibiotic and hot compress, but is slow to respond
Healthcare visit (other): Doctor office
Release 11 — 3 months, dose 3
Symptoms: High fever one-night, headache, drippy nose. Doctor consult said probably not covid. Next day became bronchitis which lasted about 2 weeks
Release 12 — 3 months, dose 4
Symptoms: Drippy nose, irritated throat, but no fever. Home tested positive for covid last week. After 6 days home tested negative.
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 | Bronchitis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hordeolum | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release