28Z-23159-92542
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 707 / LA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypersomnia, Increased appetite, Somnolence — Feeling: GoodFree text: So far, I sleep better at night than normal. I feel a little tired and sleepy when I first awaken, which may be kind of close to normal. In the past few days, I seem to sleep later than normal. I also seem to be hungry more than normal. I don't know if any of these are symptoms, but just wanted you to know. If they are symptoms, then they are very mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: Back pain for a little whileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-20
- 2021-03-21
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint painsFree text: Pain in a knee that has an old injury. Might have nothing to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-04-26
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): So far, I sleep better at night than normal. I feel a little tired and sleepy when I first awaken, which may be kind of close to normal. In the past few days, I seem to sleep later than normal. I also seem to be hungry more than normal. I don't know if any of these are symptoms, but just wanted you to know. If they are symptoms, then they are very mild.
Systemic reaction (other): Back pain for a little while
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in a knee that has an old injury. Might have nothing to do with the vaccine
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Increased appetite | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release