2UW-88589-37038
2 vaccinations
5 coded responses
29 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 730 / OK
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: GoodFree text: Re: 03/10/2021 (b)(6) 9 PMbpm 83 (pulse rate up 16 bpm from norm); Temp 99.2; very slight overall aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: FairFree text: Occasional diarrhea, perhaps once or twice per week. Weeks before had some stomach ache but was short livedonly a couple of hours two or three days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-10-25
Dose 2 — Moderna
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injected arm ached most of the night and is sore today. Limited to injected arm only.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Heart rate increased, Pain in extremity — Feeling: GoodFree text: 10/26/2021: Heart rate was up from 64 bpm to 80 bpm; blood sugar up from 102 to 150. Arm of injection side aches for two days, then returned to normal. No pain today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 2MedDRA: Salivary gland pain — Feeling: GoodFree text: My two sublingual glands located on the lingual frenulum have been sore for about two weeks. Very unusual for me as I have never had a problem with this before.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Re: 03/10/2021 (b)(6) 9 PMbpm 83 (pulse rate up 16 bpm from norm); Temp 99.2; very slight overall aches.
redacted (b)(6)
Release 6 — day 14, dose 1
Symptoms: Occasional diarrhea, perhaps once or twice per week. Weeks before had some stomach ache but was short livedonly a couple of hours two or three days.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Injected arm ached most of the night and is sore today. Limited to injected arm only.
Systemic reaction (other): 10/26/2021: Heart rate was up from 64 bpm to 80 bpm; blood sugar up from 102 to 150. Arm of injection side aches for two days, then returned to normal. No pain today.
Release 10 — day 14, dose 2
Symptoms: My two sublingual glands located on the lingual frenulum have been sore for about two weeks. Very unusual for me as I have never had a problem with this before.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Salivary gland pain | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release