2KJ-28452-42133
4 vaccinations
5 coded responses
51 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site mass, Injection site pain, Pruritus — Feeling: GoodFree text: The Monday after the shot (one week in) I experienced a painful lump and itchy skin at the injection site. It has since cleared up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
-
2021-04-19
Dose 2 — Moderna
-
2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Site: Pain, RednessFree text: Missed my check-in yesterday, but that is when I did feel feverish, had chills & body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-11-03
Dose 3 — Moderna
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
- 2022-05-06
-
2022-09-30
Dose 4 — Pfizer-BioNTech
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-12
- 2022-10-14
-
2022-10-21
Survey response — day 21, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Probably unrelated, but I've developed painful knee and neck joints.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
-
2022-11-04
Survey response — day 35, dose 4MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: GoodFree text: Likely unrelated, but in addition to the sudden and unexplained knee pain, now occasional shooting pain in my left toes.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-12-30
-
2023-04-02
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Free text
Release 6 — day 14, dose 1
Symptoms: The Monday after the shot (one week in) I experienced a painful lump and itchy skin at the injection site. It has since cleared up.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Missed my check-in yesterday, but that is when I did feel feverish, had chills & body aches.
Release 12 — day 21, dose 4
Symptoms: Probably unrelated, but I've developed painful knee and neck joints.
Release 12 — day 35, dose 4
Symptoms: Likely unrelated, but in addition to the sudden and unexplained knee pain, now occasional shooting pain in my left toes.
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 | Arthralgia | · | · | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release