33M-19237-67656
5 vaccinations
5 coded responses
59 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Diarrhea may be associated with dairy I had for dinnerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · ChillsFree text: I had chills last night after daily check-inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
-
2021-11-13
Dose 3 — Moderna
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
-
2022-05-14
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Currently have a cold. Took rapid test which was negative and oxygen saturation is 97-99%.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-19
Dose 4 — Moderna
-
2022-06-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2022-06-21
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-28
- 2022-07-03
- 2022-07-10
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-09-19
-
2022-10-23
Dose 5 — Moderna
- 2022-10-23
-
2022-10-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: I received second dose of Monkey Pox vaccine on 10/10/2022 and the flu vaccine on 10/8/2022. I have not noted any adverse effects related to receiving these three vaccines within close proximity to each other.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-10-29
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
-
2022-11-29
Survey response — day 35, dose 5MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: I think I have the common cold (nasal congestion, cough, runny nose).MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2023-01-22
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-06-19 | Moderna | No |
| 5 | 2022-10-23 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea may be associated with dairy I had for dinner
Systemic reaction (other): I had chills last night after daily check-in
Release 11 — 6 months, dose 3
Symptoms: Currently have a cold. Took rapid test which was negative and oxygen saturation is 97-99%.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I received second dose of Monkey Pox vaccine on 10/10/2022 and the flu vaccine on 10/8/2022. I have not noted any adverse effects related to receiving these three vaccines within close proximity to each other.
Release 12 — day 35, dose 5
Symptoms: I think I have the common cold (nasal congestion, cough, runny nose).
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 | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release