229-19811-30961
5 vaccinations
2 coded responses
27 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-27
Dose 2 — Moderna
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Injection site pain, Pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: on the 27 th of feb i experienced chills, moderate to severe pain where i was vaccinated a tiredness and body aches which lasted about 36 hours. I felt normal with all symptoms gone except for mild soreness in the area of the shot by Monday march 1, 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-28
Dose 3 — ModernaCo-administered: Flu
- 2022-03-01
-
2022-04-25
Dose 4 — Moderna
- 2022-04-28
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Myalgia, Self-medication — Feeling: GoodFree text: had pain day and next day where i got the shot and felt some muscle aches during night that i ended taking two tylenol tablets but am on third day after shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-04
- 2022-05-16
- 2022-05-30
- 2022-06-06
- 2022-07-25
- 2022-10-24
-
2022-11-07
Dose 5 — Pfizer-BioNTechCo-administered: Shingles
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-28 | Moderna | Flu |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-11-07 | Pfizer-BioNTech | Shingles |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): on the 27 th of feb i experienced chills, moderate to severe pain where i was vaccinated a tiredness and body aches which lasted about 36 hours. I felt normal with all symptoms gone except for mild soreness in the area of the shot by Monday march 1, 2021.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): had pain day and next day where i got the shot and felt some muscle aches during night that i ended taking two tylenol tablets but am on third day after shot.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release