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369-20334-53332

5 vaccinations 4 coded responses 36 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
077 / NJ
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches
    Free text: I have a pain in my side. But I have had this pain for over 6 weeks. My PCP says it is a pulled muscle. It is not worse or better since getting the COVID-19 shot this past week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Unevaluable event — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): The muscle aches preceded the COVID shot by many weeks · Healthcare visit (other): I have an appointment to see a Dr. in about 10 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-31
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  11. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Dose 2 — Moderna
  14. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  16. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  21. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-27
  29. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-20
    Dose 3 — Moderna
  31. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-24
    Dose 4 — Moderna
  33. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-04-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-01
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-15
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-22
    Survey response — day 28, dose 4
    MedDRA: Myocardial infarction, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had a heart attack on Monday, May 16. Treated at (b)(6) Medical Center in (b)(6). Test for COVID there during treatment was negative.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-29
    Survey response — day 35, dose 4
    MedDRA: Myocardial infarction, SARS-CoV-2 test positive, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Heart attack on May 16 and positive Covid test on May 26 · Healthcare visit (other): Had stent inserted on May 16. Had monoclonal antibody treatment on May 28.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-29
    Report sent to call center — day 35, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  41. 2022-06-01
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  42. 2022-06-05
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  43. 2022-07-26
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-23
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-31
    Dose 5 — Moderna
  46. 2023-05-01
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-24Moderna
32021-11-20Moderna No
42022-04-24Moderna No
52022-10-31Moderna No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): I have a pain in my side. But I have had this pain for over 6 weeks. My PCP says it is a pulled muscle. It is not worse or better since getting the COVID-19 shot this past week.

2021-01-31

Systemic reaction (other): The muscle aches preceded the COVID shot by many weeks
Healthcare visit (other): I have an appointment to see a Dr. in about 10 days.

Release 11 — day 28, dose 4

2022-05-22

Symptoms: I had a heart attack on Monday, May 16. Treated at (b)(6) Medical Center in (b)(6). Test for COVID there during treatment was negative.
redacted (b)(6)

Release 11 — day 35, dose 4

2022-05-29

Symptoms: Heart attack on May 16 and positive Covid test on May 26
Healthcare visit (other): Had stent inserted on May 16. Had monoclonal antibody treatment on May 28.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDMyocardial infarction · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SROMyalgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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