2S7-33521-93877
4 vaccinations
5 coded responses
43 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 482 / MI
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: First shot did not hurt. Second shot hurt during and after the injection. Can pinky raise my arm about 60% before I feel pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Back pain, Cough, Myalgia — Feeling: GoodFree text: Back muscles ache when I turn at the waist. I think I pulled some muscles when I coughed a few days ago. No breathing problems and oxygen saturation is 95.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-05
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-05
Dose 4 — Moderna
- 2022-04-27
- 2022-04-27
-
2022-05-03
Survey response — day 28, dose 4MedDRA: Diarrhoea, Self-medication — Feeling: GoodFree text: I had a couple of loose stools. Took one dose of Loperamide Hydrochloride tablets, 2mg each time. That took care of it.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-17
- 2022-07-05
- 2022-10-06
-
2023-04-05
Survey response — 12 months, dose 4MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-04-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): First shot did not hurt. Second shot hurt during and after the injection. Can pinky raise my arm about 60% before I feel pain.
Release 6 — day 35, dose 2
Symptoms: Back muscles ache when I turn at the waist. I think I pulled some muscles when I coughed a few days ago. No breathing problems and oxygen saturation is 95.
Release 10 — day 0, dose 3
Systemic reaction (other): None
Release 11 — day 28, dose 4
Symptoms: I had a couple of loose stools. Took one dose of Loperamide Hydrochloride tablets, 2mg each time. That took care of it.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release