395-20813-15106
4 vaccinations
7 coded responses
52 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue — Feeling: Fair · ChillsFree text: Fatigue today. Episode of chills last night 10-12 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: Mild cough, but since I suffer from RAD, this could be due to the weather, not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-11-02
Dose 2 — Moderna
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-16
-
2022-02-01
Survey response — 3 months, dose 2MedDRA: COVID-19, Cough, Nasopharyngitis — Feeling: GoodFree text: Was + for COVID in early January. Had a bad cold for a week and a cough for nearly 4 weeks. Was never hospitalized, so Jansen+Moderna did their job. Tested - in January 20.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Dose 3 — Moderna
- 2022-04-27
-
2022-04-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-23
Dose 4 — ModernaCo-administered: Flu
- 2022-09-29
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 21, dose 4MedDRA: Cough, Nasal congestion, Nasopharyngitis, Pre-existing disease — Feeling: GoodFree text: Had a cold last week marked by nasal congestion. Still have lingering cough due to reactive airway disorder.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
-
2022-10-28
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: FairFree text: Lingering cough, occasional sore throat, occasional fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — day 42, dose 4MedDRA: Cough — Feeling: FairFree text: Lingering cough growing more intense.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
-
2023-03-24
Survey response — 6 months, dose 4MedDRA: Epididymitis, Orchitis noninfective — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-02 | Moderna | No |
| 3 | 2022-04-27 | Moderna | No |
| 4 | 2022-09-23 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue today. Episode of chills last night 10-12 hours after injection.
Systemic reaction (other): Mild cough, but since I suffer from RAD, this could be due to the weather, not the vaccine.
Release 11 — 3 months, dose 2
Symptoms: Was + for COVID in early January. Had a bad cold for a week and a cough for nearly 4 weeks. Was never hospitalized, so Jansen+Moderna did their job. Tested - in January 20.
Release 12 — day 21, dose 4
Symptoms: Had a cold last week marked by nasal congestion. Still have lingering cough due to reactive airway disorder.
Release 12 — day 35, dose 4
Symptoms: Lingering cough, occasional sore throat, occasional fatigue.
Release 12 — day 42, dose 4
Symptoms: Lingering cough growing more intense.
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 | COVID-19 | · | · | ✓ |
| SD | Epididymitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Orchitis noninfective | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release