23P-14025-26505
4 vaccinations
4 coded responses
49 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 376 / TN
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: Red itchy rash area near injection site about 1 inch on 7th day, grew to about 2 inches on 8th day and left a day or so later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: 1.5 inch red circle about 3 inches below injection site. Slightly itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-06-08
- 2021-09-07
-
2021-12-20
Dose 3 — ModernaCo-administered: Flu
- 2021-12-20
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, HeadacheAdult check-in
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fever · HeadacheAdult check-in
-
2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
-
2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Hypoaesthesia — Feeling: Good · Site: Redness, ItchingFree text: This redness area is large, nearly to my elbow. It's been almost a week so seems very strange. Also, a red area with numbness, about 5" circle, appeared on my upper leg yesterday that may be unrelated. The first two shots didn't bother me.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-25
- 2022-01-31
- 2022-03-21
-
2022-06-23
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-20
- 2022-12-22
- 2022-12-29
- 2023-01-06
- 2023-01-12
- 2023-01-19
- 2023-01-28
- 2023-03-16
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-12-20 | Moderna | Flu |
| 4 | 2022-12-15 | Pfizer-BioNTech | Flu |
Free text
Release 4 — day 14, dose 1
Symptoms: Red itchy rash area near injection site about 1 inch on 7th day, grew to about 2 inches on 8th day and left a day or so later.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 1.5 inch red circle about 3 inches below injection site. Slightly itchy.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): This redness area is large, nearly to my elbow. It's been almost a week so seems very strange. Also, a red area with numbness, about 5" circle, appeared on my upper leg yesterday that may be unrelated. The first two shots didn't bother me.
Release 12 — 6 months, dose 3
Symptoms: Sore throat
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release