2EG-21009-65627
5 vaccinations
3 coded responses
29 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Only a very slight pain in muscle at injection site. No other symptoms. I feel great.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-23
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Night sweats, Poor quality sleep, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild headache. Chills and fever started last night 30 hrs following second dose. Didnt take any NSAIDs and rode it out. Very poor sleep last night with some night sweats. But this morning was fine. Given timing of events I was able to work both days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-10
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-17
- 2021-05-03
- 2021-08-04
-
2021-10-26
Dose 3 — Moderna
- 2022-02-01
- 2022-02-01
-
2022-04-01
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Arthralgia, Chills, Vaccination site reaction — Feeling: GoodFree text: I am now 14 days post 4th vaccine. At approx 24 hrs after 4th vaccine (02APR) I had slight chills. Also about 2 days of vaccine site reaction, very mild arthralgia.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-22
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-07-03
-
2022-09-13
Dose 5 — Moderna
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-13 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Only a very slight pain in muscle at injection site. No other symptoms. I feel great.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild headache. Chills and fever started last night 30 hrs following second dose. Didnt take any NSAIDs and rode it out. Very poor sleep last night with some night sweats. But this morning was fine. Given timing of events I was able to work both days.
Release 11 — day 7, dose 4
Systemic reaction (other): I am now 14 days post 4th vaccine. At approx 24 hrs after 4th vaccine (02APR) I had slight chills. Also about 2 days of vaccine site reaction, very mild arthralgia.
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vaccination site reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release