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37R-17125-29917

2 vaccinations 2 coded responses 22 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
940 / CA
Registered
2021-04-13
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  4. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry throat, Fatigue, Feeling of body temperature change, Myalgia, Photophobia, Poor quality sleep — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Friday april 9th afternoon I felt exhausted then at night I couldn't sleep well because of my body temp will be hot then cold (I'll want a blanket on, then I want nothing on ) 2nd day april 10th was muscle soreness and I can't look into bright lights and dry throat, 3rd day april 11th muscle soreness and exhaustion, 4th day april 12th muscle soreness and i get tired easily after doing a small chore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  7. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-30
    Survey response — day 21, single dose
    MedDRA: Fatigue, Myalgia — Feeling: Fair
    Free text: Exhausted & minor muscle aching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-07
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  10. 2021-05-14
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  11. 2021-05-21
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  12. 2021-07-09
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-10-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-12-13
    Dose 2 — Moderna
    Co-administered: Flu
  15. 2021-12-13
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-12-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-12-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  18. 2021-12-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  19. 2021-12-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  20. 2021-12-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness
    Adult check-in
  21. 2021-12-20
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  22. 2021-12-29
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2022-01-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Janssen/Johnson & Johnson
22021-12-13Moderna Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Friday april 9th afternoon I felt exhausted then at night I couldn't sleep well because of my body temp will be hot then cold (I'll want a blanket on, then I want nothing on ) 2nd day april 10th was muscle soreness and I can't look into bright lights and dry throat, 3rd day april 11th muscle soreness and exhaustion, 4th day april 12th muscle soreness and i get tired easily after doing a small chore

Release 8 — day 21, single dose

2021-04-30

Symptoms: Exhausted & minor muscle aching

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
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SRODry throat ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling of body temperature change ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓

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