6KT-32975-69200
4 vaccinations
9 coded responses
53 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 283 / NC
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Musculoskeletal stiffness — Feeling: Good · Site: PainFree text: Had fatigue yesterday evening but none today. Shoulder is a little stiff like any other shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-11-11
Dose 3 — Moderna
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Asthma — Feeling: FairFree text: Asthma increaseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Productive cough, Secretion discharge — Feeling: FairFree text: Still coughing up mucus in eveningMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Productive cough, Self-medication — Feeling: GoodFree text: My coughing up mucus has lessened. I took Mucinex for 24 hours.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Respiratory tract congestion, Secretion discharge, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): More chest congestion and mucus after mucinex wore off. · Healthcare visit (other): Pulmonology Dr. Ordered blood work, x raysMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Atelectasis, Chest X-ray abnormal, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Less mucus today after doubling omeprazole by Dr but Bibasilar atelectasis indicated in yesterday's x-ray · Healthcare visit (other): Refers to yesterday's unplanned visit with Pulmonary MDMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-17
-
2021-11-18
Survey response — day 7, dose 3MedDRA: Medical counselling, Secretion discharge — Feeling: FairFree text: Still having to get rid of mucus especially after eating. Following Dr directions and he will call me on the 30th.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
-
2021-11-24
Call successfulDoes not wish to fill out VAERS report
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
-
2022-03-30
Dose 4 — Moderna
-
2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: GoodFree text: Just a headache for a few hours. Nothing serious.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-13
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
- 2022-09-28
-
2023-03-30
Survey response — 12 months, dose 4MedDRA: Blood cholesterol increased, Myocardial infarction — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-03-31
-
2023-03-31
Callback requested for02:00PM ET
-
2023-03-31
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had fatigue yesterday evening but none today. Shoulder is a little stiff like any other shot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Asthma increase
Systemic reaction (other): Still coughing up mucus in evening
Systemic reaction (other): My coughing up mucus has lessened. I took Mucinex for 24 hours.
Systemic reaction (other): More chest congestion and mucus after mucinex wore off.
Healthcare visit (other): Pulmonology Dr. Ordered blood work, x rays
Systemic reaction (other): Less mucus today after doubling omeprazole by Dr but Bibasilar atelectasis indicated in yesterday's x-ray
Healthcare visit (other): Refers to yesterday's unplanned visit with Pulmonary MD
Release 10 — day 7, dose 3
Systemic reaction (other): Still having to get rid of mucus especially after eating. Following Dr directions and he will call me on the 30th.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Just a headache for a few hours. Nothing serious.
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 cholesterol increased | · | · | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Atelectasis | · | · | ✓ |
| SRO | Chest X-ray abnormal | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release