24H-16339-87505
4 vaccinations
7 coded responses
45 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 499 / MI
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Fatigue or tirednessFree text: I had a slight fever yesterday/last night after my check-in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Tired - havent been sleeping real restful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: My tiredness - we have a lot going-on at home, too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
-
2021-10-08
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: None related to COVID - I think I had food poisoning over approx a day.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Dose 3 — Moderna
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
-
2021-12-17
Survey response — day 14, dose 3MedDRA: Pruritus, Pruritus genital — Feeling: Good · Be unable to work or attend schoolFree text: I've had itchiness in random places on body - above hair/neck like, palm of hand, elbow pit, crotch, shoulders/neck. This could be allergic, and/or we have a very dry house right now.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
- 2022-06-03
-
2022-11-17
Dose 4 — Moderna
-
2022-11-17
Survey response — day 0, dose 4MedDRA: Myalgia — Feeling: Good · Site: PainFree text: Achy in shoulder muscle of shot arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Survey response — days 1–6 daily, dose 4MedDRA: Injection site discomfort — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Not pain, but soreness at injection site in arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2022-12-23
- 2022-12-29
- 2023-02-16
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-11-17 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had a slight fever yesterday/last night after my check-in.
Systemic reaction (other): Tired - havent been sleeping real restful.
Systemic reaction (other): My tiredness - we have a lot going-on at home, too.
Release 10 — 6 months, dose 2
Symptoms: None related to COVID - I think I had food poisoning over approx a day.
Release 10 — day 14, dose 3
Symptoms: I've had itchiness in random places on body - above hair/neck like, palm of hand, elbow pit, crotch, shoulders/neck. This could be allergic, and/or we have a very dry house right now.
Release 12 — day 0, dose 4
Systemic reaction (other): Achy in shoulder muscle of shot arm.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Not pain, but soreness at injection site in arm.
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 | Pruritus | · | · | ✓ |
| SD | Pruritus genital | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release