372-18852-54158
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 992 / WA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-22
- 2021-04-30
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
- 2021-05-14
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Palpitations, Pyrexia — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Yesterday 5/14 about 27 hours after the shot at 4 pm- 8 pm I had a fever and chills. My heart was racing about 4 pm. All went away by 8 pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-06-26
- 2021-08-13
- 2021-11-11
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
-
2021-11-26
Survey response — day 14, dose 3MedDRA: Arthralgia, Bone pain, Pain, Pain in extremity — Feeling: GoodFree text: My entire left arm has been throbbing at times and my elbow hurts. Like down to the bone, hard to describe. I don't do anything other than walk for exercise. So it dawned on me that it could have been from the shot. I'm sorry I didn't report sooner.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Survey response — day 21, dose 3MedDRA: Arthropathy — Feeling: GoodFree text: Just not sure if related but my left shoulder keeps getting worse. Like did the shot activate arthritis? Am I sleeping on it? I just don't know.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-11
Survey response — day 28, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Shoulder and elbow pain. But can't blame vaccine. Who knowsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-25
-
2022-02-11
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: So I got a bad cold for the first time in 2 years. I tested myself twice with home tests. Both came back negative. I can't imagine the test being bad twice. It was back to back days I tested.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday 5/14 about 27 hours after the shot at 4 pm- 8 pm I had a fever and chills. My heart was racing about 4 pm. All went away by 8 pm
Release 10 — day 14, dose 3
Symptoms: My entire left arm has been throbbing at times and my elbow hurts. Like down to the bone, hard to describe. I don't do anything other than walk for exercise. So it dawned on me that it could have been from the shot. I'm sorry I didn't report sooner. cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Just not sure if related but my left shoulder keeps getting worse. Like did the shot activate arthritis? Am I sleeping on it? I just don't know.
Release 10 — day 28, dose 3
Symptoms: Shoulder and elbow pain. But can't blame vaccine. Who knows
Release 11 — 3 months, dose 3
Symptoms: So I got a bad cold for the first time in 2 years. I tested myself twice with home tests. Both came back negative. I can't imagine the test being bad twice. It was back to back days I tested.
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 | Arthropathy | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release