6MB-96751-62239
5 vaccinations
4 coded responses
40 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Cold symptoms, slight runny nose and cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — 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
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Eye disorder, Keratomileusis, Nasopharyngitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not COVID related. A cold that went through our grandsons family and then us. Both my spouse and my daughter tested to make sure it was not Covid. It wasnt. Then, independently, I had an eye issue that required laser surgery. Recovery going fin · Healthcare visit (other): Office visit and treatmentMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2021-08-30
-
2021-08-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-30
Dose 3 — Moderna
- 2022-02-11
-
2022-04-16
Dose 4 — Pfizer-BioNTech
-
2022-04-28
Survey response — day 7, dose 4MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat, I believe from a cold that started with my grandson several weeks ago and ran through that household and also contracted by my wife and another person staying with us. Both of these women take care of the grandchildrenMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Survey response — day 14, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold. Tested three days, quick tests. No COVID, and it feels like cold is going awayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-16
-
2022-09-14
Dose 5 — Moderna
- 2022-09-22
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-16 | Pfizer-BioNTech | No |
| 5 | 2022-09-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Cold symptoms, slight runny nose and cough.
Release 9 — 6 months, dose 2
Symptoms: Not COVID related. A cold that went through our grandsons family and then us. Both my spouse and my daughter tested to make sure it was not Covid. It wasnt. Then, independently, I had an eye issue that required laser surgery. Recovery going fin
Healthcare visit (other): Office visit and treatment
Release 11 — day 7, dose 4
Systemic reaction (other): Sore throat, I believe from a cold that started with my grandson several weeks ago and ran through that household and also contracted by my wife and another person staying with us. Both of these women take care of the grandchildren
Release 11 — day 14, dose 4
Symptoms: Cold. Tested three days, quick tests. No COVID, and it feels like cold is going away
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 | Cough | ✓ | ✓ | ✓ |
| SD | Eye disorder | ✓ | · | ✓ |
| SD | Keratomileusis | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release