6NE-17385-69067
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 286 / NC
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Induration, Oropharyngeal pain — Feeling: GoodFree text: Injection site is a bit stiff or dire but not bad. Had some feeling like I was coming down with a sore throat but nothing more.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 35, dose 2MedDRA: Pyrexia — Feeling: FairFree text: Hay fever like symptoms and weve had a lot of pollen recently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Malignant melanoma — Feeling: GoodFree text: Melanoma at left templeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-28
- 2021-11-29
- 2021-12-06
-
2021-12-14
Survey response — day 21, dose 3MedDRA: Dizziness — Feeling: FairFree text: Some light headednessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-11-26
Survey response — 12 months, dose 3MedDRA: Axillary pain, Influenza like illness, Medical counselling, Office visit, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I test + for COVID late September 2023. I had mild fever, mild flu like symptoms for < 24hrs as I was rx'd Paxlovid w/in 12 hrs testing + w/ symptoms. But in mid-October I devlp'd occasional but persistent left arm pit/arm ache - ultrasound planned. · Healthcare visit (other): My MDMedDRA releases: 2024-11 · check-in free text available
-
2022-11-26
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-28
-
2022-12-01
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 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is a bit stiff or dire but not bad. Had some feeling like I was coming down with a sore throat but nothing more.
Release 6 — day 35, dose 2
Symptoms: Hay fever like symptoms and weve had a lot of pollen recently.
Release 9 — 6 months, dose 2
Symptoms: Melanoma at left temple
Release 10 — day 21, dose 3
Symptoms: Some light headedness
Release 12 — 12 months, dose 3
Symptoms: I test + for COVID late September 2023. I had mild fever, mild flu like symptoms for < 24hrs as I was rx'd Paxlovid w/in 12 hrs testing + w/ symptoms. But in mid-October I devlp'd occasional but persistent left arm pit/arm ache - ultrasound planned. cut off by CDC
Healthcare visit (other): My MD
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Malignant melanoma | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release