6LS-26386-20474
5 vaccinations
5 coded responses
64 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 275 / NC
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-26
Dose 2 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-12
Dose 3 — Moderna
-
2021-11-12
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fever · HeadacheAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2021-12-24
Survey response — day 42, dose 3MedDRA: Chest discomfort, Dyspnoea, Headache, Heart rate irregular — Feeling: GoodFree text: Shortness of breath, irregular heart beat, chest discomfort, headache. Only one day.been fine since.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Survey response — 3 months, dose 3MedDRA: Electrocardiogram abnormal, Office visit, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am currently wearing a heart monitor. I had an EKG about 10 days ago and it showed that my ventricles are pumping before they need to. I have a follow up appointment in about 2 weeks to discuss the data from the monitor. · Healthcare visit (other): Went to my primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-16
-
2022-05-13
Survey response — 6 months, dose 3MedDRA: Arrhythmia, Office visit, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart arithmea, pvc, and visited a cardiologist for these symptoms. · Healthcare visit (other): Cardiologist appointmentMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-16
- 2022-05-16
-
2022-06-03
Dose 4 — Moderna
-
2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-09-02
-
2022-11-03
Dose 5 — Pfizer-BioNTech
- 2022-11-03
- 2022-11-04
- 2022-11-05
-
2022-11-06
Survey response — days 1–6 daily, dose 5MedDRA: Cold sweat — Feeling: Good · FeverFree text: Felt clammy on and off.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2023-02-02
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-06-03 | Moderna | No |
| 5 | 2022-11-03 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): None
Release 10 — day 42, dose 3
Symptoms: Shortness of breath, irregular heart beat, chest discomfort, headache. Only one day.been fine since.
Release 11 — 3 months, dose 3
Symptoms: I am currently wearing a heart monitor. I had an EKG about 10 days ago and it showed that my ventricles are pumping before they need to. I have a follow up appointment in about 2 weeks to discuss the data from the monitor.
Healthcare visit (other): Went to my primary care physician
Release 11 — 6 months, dose 3
Symptoms: Heart arithmea, pvc, and visited a cardiologist for these symptoms.
Healthcare visit (other): Cardiologist appointment
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Felt clammy on and off.
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 | Arrhythmia | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release