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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

  1. 2021-02-22
    Dose 1 — Moderna
  2. 2021-03-22
    Dose 2 — Moderna
  3. 2021-12-28
    Dose 3 — Moderna
  4. 2021-12-30
    Registered in v-safe
  5. 2021-12-30
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: 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 activities
    Adult check-in
  6. 2021-12-31
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Adverse reaction, Impaired work ability — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness
    Free text: He felt well enough to return to work today
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Redness · None
    Adult check-in
  8. 2022-01-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-01-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-01-04
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-11
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-18
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-01-25
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-02-01
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-02-08
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-03-29
  17. 2022-06-28
    Survey response — 6 months, dose 3, dependent
    MedDRA: Diabetes mellitus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Was told that I have diabetes now · Healthcare visit (other): Office visit
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-06-28
    Report sent to call center — 6 months, dose 3, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-06-29
  20. 2022-12-30
  21. 2023-01-24
    Dose 4 — Moderna
  22. 2023-02-09
    Survey response — day 14, dose 4, dependent
    MedDRA: Diabetes mellitus — Feeling: Good
    MedDRA releases: 2024-11
  23. 2023-02-14
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  24. 2023-02-21
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  25. 2023-02-28
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  26. 2023-03-07
    Survey response — day 42, dose 4, dependent
    MedDRA: Alopecia — Feeling: Good
    MedDRA releases: 2024-11
  27. 2023-04-25

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna No
22021-03-22Moderna No
32021-12-28Moderna No
42023-01-24Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3, dependent

2021-12-31

Systemic reaction (other): He felt well enough to return to work today

Release 12 — 6 months, dose 3, dependent

2022-06-28

Symptoms: Was told that I have diabetes now
Healthcare visit (other): Office visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAlopecia · · ✓
SDDiabetes mellitus · · ✓
SROAdverse reaction · · ✓
SROImpaired work ability · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release