ZX3-23478-06506
5 vaccinations
3 coded responses
54 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain · HeadacheFree text: Feel great today, almost back to normal. Good reaction the day after the shot, though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-31
-
2021-09-16
Dose 3 — Moderna
- 2021-10-25
- 2021-10-28
- 2021-12-16
-
2022-03-17
Survey response — 6 months, dose 3MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Despite being triple vaccinated, I caught COVID. How or where I have no idea! But it was no worse than a mild cold. No: Aches Headache Fever Temperature Coughing PCR confirmed Runny nose and tickly throat Tested negative after 2 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-22
-
2022-03-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-06
Dose 4 — Moderna
- 2022-04-06
-
2022-04-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-10
-
2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-24
- 2022-10-15
-
2022-10-22
Survey response — day 42, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Cold picked up on a long distance flight. No it's not COVID - I have tested 4 times over 4 days. All negative. It's just an old fashioned coldMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-09-16 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feel great today, almost back to normal. Good reaction the day after the shot, though!
Release 11 — 6 months, dose 3
Symptoms: Despite being triple vaccinated, I caught COVID. How or where I have no idea! But it was no worse than a mild cold. No: Aches Headache Fever Temperature Coughing PCR confirmed Runny nose and tickly throat Tested negative after 2 weeks
Release 12 — day 42, dose 5
Symptoms: Cold picked up on a long distance flight. No it's not COVID - I have tested 4 times over 4 days. All negative. It's just an old fashioned cold
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 |
|---|---|---|---|---|
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release