6LE-22698-74015
4 vaccinations
3 coded responses
34 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 949 / CA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 2MedDRA: Fatigue, Nausea, Pruritus, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Itching in torso and limbs. Queasiness or mild nausea. Fatigue. These symptoms began to come on in late December 2020 and have heightened in the past week. Onset predates my covid-19 vaccination. · Healthcare visit (other): Visited my primary care Dr for check-up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
-
2021-06-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-09
-
2021-11-08
Dose 3 — Moderna
-
2022-03-11
Survey response — 12 months, dose 2MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose, some coughing. No fever; no muscle ache; no headache. Negative Covid-19 home test 2/27. A cold, I believe. Impacted for about 9 days. Pretty much gone by 3/7.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-18
Dose 4 — Moderna
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
- 2022-10-17
-
2023-04-18
Survey response — 12 months, dose 4MedDRA: Coronary artery bypass, Myocardial infarction — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-18
Report sent to call center — 12 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 21, dose 2
Symptoms: Itching in torso and limbs. Queasiness or mild nausea. Fatigue. These symptoms began to come on in late December 2020 and have heightened in the past week. Onset predates my covid-19 vaccination.
Healthcare visit (other): Visited my primary care Dr for check-up.
Release 11 — 12 months, dose 2
Symptoms: Runny nose, some coughing. No fever; no muscle ache; no headache. Negative Covid-19 home test 2/27. A cold, I believe. Impacted for about 9 days. Pretty much gone by 3/7.
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Coronary artery bypass | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release