W84-93323-68843
4 vaccinations
4 coded responses
20 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 525 / IA
- Registered
- 2021-12-30
- Relationship
- Adult relative or friend
- Guardian
- 5BC-33400-37036
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Dose 1 — Moderna
-
2021-03-22
Dose 2 — Moderna
-
2021-12-28
Dose 3 — Moderna
-
2021-12-30
Registered in v-safe
-
2021-12-30
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-31
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Adverse reaction, Impaired work ability — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: He felt well enough to return to work todayMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-02-08
- 2022-03-29
-
2022-06-28
Survey response — 6 months, dose 3, dependentMedDRA: Diabetes mellitus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Was told that I have diabetes now · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Report sent to call center — 6 months, dose 3, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2022-06-29
- 2022-12-30
-
2023-01-24
Dose 4 — Moderna
-
2023-02-09
Survey response — day 14, dose 4, dependentMedDRA: Diabetes mellitus — Feeling: GoodMedDRA releases: 2024-11
- 2023-02-14
- 2023-02-21
- 2023-02-28
-
2023-03-07
Survey response — day 42, dose 4, dependentMedDRA: Alopecia — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | No |
| 2 | 2021-03-22 | Moderna | No |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2023-01-24 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): He felt well enough to return to work today
Release 12 — 6 months, dose 3, dependent
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 | Alopecia | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release