2J7-25897-11663
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 196 / PA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain — Feeling: GoodFree text: Just for statistical fyi: later in the day of I had some soreness and the next day (after having shoveled and snowblown a lot of snow-we had 20") I did feel tired. I think that was to be expected and I don't consider it a bad reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-07
- 2021-02-12
- 2021-02-17
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-04
- 2021-03-06
-
2021-03-08
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 28, dose 2MedDRA: Injection site pain, Muscle spasms, Pain in extremity — Feeling: GoodFree text: I did feel a slight, but specific pain at my left arm injection sight and, after some skiing, left leg spasm and ache. The arm pain cleared up and the leg pain went away after two days. The arm pain was curious. I attribute the leg issue to skiingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
- 2021-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Just for statistical fyi: later in the day of I had some soreness and the next day (after having shoveled and snowblown a lot of snow-we had 20") I did feel tired. I think that was to be expected and I don't consider it a bad reaction.
Release 5 — day 7, dose 2
Systemic reaction (other): None
Release 6 — day 28, dose 2
Symptoms: I did feel a slight, but specific pain at my left arm injection sight and, after some skiing, left leg spasm and ache. The arm pain cleared up and the leg pain went away after two days. The arm pain was curious. I attribute the leg issue to skiing cut off by CDC
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 pain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release