6MA-30139-60338
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 079 / NJ
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Was worse in morning, most symptoms lessening later in dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-06
-
2021-04-12
Survey response — day 28, dose 2MedDRA: Diarrhoea, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea every day, since before my 2nd vaccine dose. It has gotten worse over that time, but is probably mostly attributable to a dude effect from my earlier immunotherapy infusions, which were stopped in August 2020 · Healthcare visit (other): In office consult and decision to do colonoscopyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
- 2021-04-26
- 2021-06-15
-
2021-08-16
Dose 3 — Moderna
- 2021-09-14
- 2022-02-20
- 2022-03-15
-
2022-05-05
Dose 4 — ModernaCo-administered: Shingles
-
2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Good · Site: ItchingFree text: Sore throat, unusual location, starting evening of booster injectionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Good · Site: ItchingFree text: Sore throat earlier reported is almost goneMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
-
2022-05-12
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-06
-
2022-11-03
Survey response — 6 months, dose 4MedDRA: Asthenia, Cough, Feeling abnormal, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My wife started to feel bad, coughing and feeling weak. Being a teacher, she had to take a home test for Covid, and she tested positive. Two or three days later, I started to experience same symptoms, I performed the same test, and also was positive.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-05-05 | Moderna | Shingles |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Was worse in morning, most symptoms lessening later in day
Release 7 — day 28, dose 2
Symptoms: Diarrhea every day, since before my 2nd vaccine dose. It has gotten worse over that time, but is probably mostly attributable to a dude effect from my earlier immunotherapy infusions, which were stopped in August 2020
Healthcare visit (other): In office consult and decision to do colonoscopy
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sore throat, unusual location, starting evening of booster injection
Systemic reaction (other): Sore throat earlier reported is almost gone
Release 11 — day 7, dose 4
Systemic reaction (other): No
Release 12 — 6 months, dose 4
Symptoms: My wife started to feel bad, coughing and feeling weak. Being a teacher, she had to take a home test for Covid, and she tested positive. Two or three days later, I started to experience same symptoms, I performed the same test, and also was positive. cut off by CDC
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release