6L2-10196-12795
5 vaccinations
8 coded responses
53 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 940 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Site: Redness, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Six days after getting the vaccine, I started to have some itching and developed a rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Chills, Muscle or body achesFree text: Soreness and tenderness around injections areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Injection site pain — Feeling: Good · ChillsFree text: Had extreme chills yesterday, woke up this morning and only had a little bit of chills, mostly gone now. Still some soreness and tenderness at injection areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Still a little bit tenderness around injection areaMedDRA 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
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-07-02
- 2021-08-27
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Survey response — day 0, dose 3MedDRA: Pain — Feeling: GoodFree text: Just some sorenessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: Itching · Muscle or body achesFree text: Muscle soreness around injections siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-07
Dose 4 — Moderna
- 2022-04-16
- 2022-04-22
- 2022-04-28
- 2022-05-05
- 2022-05-13
- 2022-05-19
- 2022-07-07
-
2022-09-26
Dose 5 — Moderna
- 2022-09-26
-
2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just soreness at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: Just a little soreness at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Six days after getting the vaccine, I started to have some itching and developed a rash
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness and tenderness around injections area
Systemic reaction (other): Had extreme chills yesterday, woke up this morning and only had a little bit of chills, mostly gone now. Still some soreness and tenderness at injection area
Systemic reaction (other): Still a little bit tenderness around injection area
Release 10 — day 0, dose 3
Systemic reaction (other): Just some soreness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Muscle soreness around injections site
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Just soreness at injection site
Systemic reaction (other): Just a little soreness at the injection site
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release