6JG-22801-58214
5 vaccinations
4 coded responses
30 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 114 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-12
- 2021-01-13
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site swelling, Mobility decreased, Pain in extremity, Peripheral swelling — Feeling: GoodFree text: Arm that was injected oddly flared up for a good 48 hours. I experienced soreness not as extreme when I first got the shot, but was tender in the area that the shot actually took place and it was swollen could not raise arm as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-12
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-11-03
Dose 3 — Moderna
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: COVID-19, Hospitalisation, Immunodeficiency, Malaise, Pneumonia — 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 · Telehealth, virtual health, or email health consultationFree text: Caught Covid during holidays with all symptoms and pneumonia. Was almost hospitalized due to immuno compromised state. Recovered from antibiotics, steroids and other medsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-16
- 2022-02-28
-
2022-05-18
Dose 4 — Moderna
- 2022-06-29
- 2022-08-19
-
2022-09-16
Dose 5 — Moderna
- 2022-10-21
- 2022-10-28
-
2022-12-17
Survey response — 3 months, dose 5MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Coughing and congestionMedDRA releases: 2024-11 · check-in free text available
-
2023-03-17
Survey response — 6 months, dose 5MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: Arm that was injected oddly flared up for a good 48 hours. I experienced soreness not as extreme when I first got the shot, but was tender in the area that the shot actually took place and it was swollen could not raise arm as well.
Release 11 — 12 months, dose 2
Symptoms: Caught Covid during holidays with all symptoms and pneumonia. Was almost hospitalized due to immuno compromised state. Recovered from antibiotics, steroids and other meds
Release 12 — 3 months, dose 5
Symptoms: Coughing and congestion
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 | COVID-19 | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Immunodeficiency | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release