349-10799-48077
5 vaccinations
9 coded responses
48 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-21
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-11-15
Dose 3 — Moderna
- 2021-11-15
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I recently caught a cold and have independent cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Nothing COVID related. I caught a cold from a friend thoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: I caught a cold and have moderate cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Common cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-13
Survey response — day 28, dose 3MedDRA: Arthralgia, Mobility decreased, Pain — Feeling: GoodFree text: Shoulder pain in the injected arm with some restricted mobility. I feel pain when I try to scratch my back. I have had the problem for about 1 week.MedDRA releases: 2024-11 · check-in free text available
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2021-12-20
Survey response — day 35, dose 3MedDRA: Arthralgia, Joint range of motion decreased — Feeling: GoodFree text: Sore shoulder in the injected arm with incomplete range of motion.MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Survey response — day 42, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Lingering shoulder pain; possibly injection induced damage.MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Survey response — 3 months, dose 3MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am still suffering from worsening pain and immobility in the injected shoulder.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Dose 4 — Moderna
- 2022-05-16
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2022-09-09
Dose 5 — ModernaCo-administered: Flu
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
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2022-12-09
Survey response — 3 months, dose 5MedDRA: Fatigue, Nasal congestion, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild COVID symptoms starting Nov 24 confirmed by positive home antigen test Nov 25; fever for a couple hours; considerable fatigue lasting two days, very mild nasal congestion for a few days.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-04-30 | Moderna | No |
| 5 | 2022-09-09 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I recently caught a cold and have independent cold symptoms
Systemic reaction (other): Nothing COVID related. I caught a cold from a friend though
Systemic reaction (other): I caught a cold and have moderate cold symptoms
Systemic reaction (other): Common cold symptoms
Release 10 — day 28, dose 3
Symptoms: Shoulder pain in the injected arm with some restricted mobility. I feel pain when I try to scratch my back. I have had the problem for about 1 week.
Release 10 — day 35, dose 3
Symptoms: Sore shoulder in the injected arm with incomplete range of motion.
Release 10 — day 42, dose 3
Symptoms: Lingering shoulder pain; possibly injection induced damage.
Release 11 — 3 months, dose 3
Symptoms: I am still suffering from worsening pain and immobility in the injected shoulder.
Release 12 — 3 months, dose 5
Symptoms: Mild COVID symptoms starting Nov 24 confirmed by positive home antigen test Nov 25; fever for a couple hours; considerable fatigue lasting two days, very mild nasal congestion for a few days.
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 | Fatigue | · | · | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Joint range of motion decreased | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release