6W3-23153-13252
3 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 023 / MA
- Registered
- 2021-12-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-12-07
Registered in v-safe
-
2021-12-07
Dose 3 — Moderna
- 2021-12-07
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-13
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 21, dose 3MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold symptoms, stuffy, runny nose and fatigued. Started last week the 23rd with a sore throat. 2 rapid antigen covid tests both negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-12
-
2022-01-18
Survey response — day 42, dose 3MedDRA: Office visit, Pain in jaw, Pollakiuria, Trismus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Urinating very frequently. Also, it's difficult to open my mouth all the way, which causes moderate to severe pain in my upper right jaw. · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-20
Call successfulDoes not wish to fill out VAERS report
-
2022-03-14
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Common Cold, antigen tested 3 times over 5 days all negative for Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — 6 months, dose 3MedDRA: COVID-19, Musculoskeletal stiffness, Neck pain, Oral pain, Taste disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had Covid 5/13 to 5/30. I still have a strange , plastic-y feeling in my mouth and sensitivity to heat and spices. My neck is still painful and stiff.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | No |
| 2 | 2021-04-16 | Moderna | No |
| 3 | 2021-12-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 3
Symptoms: Cold symptoms, stuffy, runny nose and fatigued. Started last week the 23rd with a sore throat. 2 rapid antigen covid tests both negative.
Release 10 — day 42, dose 3
Symptoms: Urinating very frequently. Also, it's difficult to open my mouth all the way, which causes moderate to severe pain in my upper right jaw.
Healthcare visit (other): Doctor visit
Release 11 — 3 months, dose 3
Symptoms: Common Cold, antigen tested 3 times over 5 days all negative for Covid.
Release 11 — 6 months, dose 3
Symptoms: I had Covid 5/13 to 5/30. I still have a strange , plastic-y feeling in my mouth and sensitivity to heat and spices. My neck is still painful and stiff.
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SD | Trismus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release