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ZWQ-23152-55008

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
344 / FL
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  10. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-05
    Dose 2 — Moderna
  14. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Most issues were 16-18 hours after the vaccine. Most issues stopped after 23 hours after vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-23
    Dose 3 — Moderna
  30. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Feeling cold, Headache — Feeling: Good · Site: Pain · Headache
    Free text: The day after the vaccine I experienced headache, coldness but not chills like with the flu and tired. Second day much better.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Slight arm soreness
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Back to normal
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: Increased upper airway secretion, Nasopharyngitis, Oropharyngeal pain — Feeling: Good
    Free text: I believe it was a cold with throat mucus sore throat, no fever but lasted at least 3 weeks. Others in my home did not get it. I believe I got it from my daughter when visiting over the holidays.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-23
    Survey response — 6 months, dose 3
    MedDRA: Cardiac disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Heart issues. Seeing a cardiologist on Monday. · Healthcare visit (other): Cardiologist to check out
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-23
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  44. 2022-04-26
  45. 2022-10-23
    Survey response — 12 months, dose 3
    MedDRA: Hypertension, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High blood pressure. Had to get meds from a cardiologist.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-23
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2022-10-26
  48. 2022-10-26

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-10-23Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Most issues were 16-18 hours after the vaccine. Most issues stopped after 23 hours after vaccine.

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): The day after the vaccine I experienced headache, coldness but not chills like with the flu and tired. Second day much better.

2021-10-26

Systemic reaction (other): Slight arm soreness

2021-10-27

Systemic reaction (other): Back to normal

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: I believe it was a cold with throat mucus sore throat, no fever but lasted at least 3 weeks. Others in my home did not get it. I believe I got it from my daughter when visiting over the holidays.

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Heart issues. Seeing a cardiologist on Monday.
Healthcare visit (other): Cardiologist to check out

Release 12 — 12 months, dose 3

2022-10-23

Symptoms: High blood pressure. Had to get meds from a cardiologist.

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 · · ✓
SDCardiac disorder · · ✓
SDHypertension · · ✓
SDIncreased upper airway secretion · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain · · ✓
SROAdverse reaction · · ✓
SROFatigue · · ✓
SROFeeling cold · · ✓
SROHeadache · · ✓
SROPain in extremity · · ✓
SROUnevaluable event ✓ ✓ ✓

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