6P7-24007-38170
4 vaccinations
7 coded responses
47 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 484 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache did not last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Only diarrhea maybe. Had one episode of loose stools but could have been something I had eaten.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: GoodFree text: Feverish yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort — Feeling: GoodFree text: Some intestinal discomfortMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I have had a head cold for the last 4-5 days. May be unrelated. It's now starting to clear up.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Dysstasia, Gait disturbance, Injury, Office visit, Pain, Walking aid user — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I do not have Covid. However, I suffered a suspected serious workout injury. I cannot walk without a cane and cannot stand for more than 60 seconds without excruciating pain. · Healthcare visit (other): Primary physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper, Chills, Fatigue, Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Yesterday I had a headache, chills, fever, stomach ache and fatigue. If I wasn't retired, I would have missed work.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
- 2022-10-18
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Headache did not last long
Systemic reaction (other): Only diarrhea maybe. Had one episode of loose stools but could have been something I had eaten.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feverish yesterday
Systemic reaction (other): Some intestinal discomfort
Release 10 — day 14, dose 3
Symptoms: I have had a head cold for the last 4-5 days. May be unrelated. It's now starting to clear up.
Release 11 — 3 months, dose 3
Symptoms: I do not have Covid. However, I suffered a suspected serious workout injury. I cannot walk without a cane and cannot stand for more than 60 seconds without excruciating pain.
Healthcare visit (other): Primary physician
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday I had a headache, chills, fever, stomach ache and fatigue. If I wasn't retired, I would have missed work.
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 | Dysstasia | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Walking aid user | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release