3AP-14411-97027
5 vaccinations
9 coded responses
66 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-27
Survey response — day 14, dose 1MedDRA: Nerve compression — Feeling: GoodFree text: Arm feels like I have a pinched nerve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore ThroatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Still have a sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Sore Throat stopped, but now I have a couch and drip in my throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-16
- 2021-05-22
-
2021-07-10
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Hypertension — Feeling: GoodFree text: High blood pressure and difficultly breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-09
Survey response — 6 months, dose 2MedDRA: Sensitive skin — Feeling: GoodFree text: Left side where I received the shot. Still feels sensitiveMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Dose 3 — Moderna
- 2021-11-21
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-23
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-06
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-02-20
-
2022-05-21
Dose 4 — Moderna
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
-
2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Testicular disorder — Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Right testicle felt hard the first day, Now it is fineMedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-06-04
-
2022-06-11
Survey response — day 21, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: The arm that the shot was administered still hurts. Feels like bone or muscle tension.MedDRA releases: 2024-11 · check-in free text available
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2022-06-18
Survey response — day 28, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Arm still hurts in injection areaMedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2022-07-03
- 2022-08-20
- 2022-11-21
-
2022-12-03
Dose 5 — ModernaCo-administered: Flu
-
2022-12-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-08
- 2022-12-09
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-03-06
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
| 5 | 2022-12-03 | Moderna | Flu |
Free text
Release 6 — day 14, dose 1
Symptoms: Arm feels like I have a pinched nerve.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore Throat
Systemic reaction (other): Still have a sore throat
Systemic reaction (other): Sore Throat stopped, but now I have a couch and drip in my throat
Release 9 — 3 months, dose 2
Symptoms: High blood pressure and difficultly breathing
Release 10 — 6 months, dose 2
Symptoms: Left side where I received the shot. Still feels sensitive
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Right testicle felt hard the first day, Now it is fine
Release 12 — day 21, dose 4
Symptoms: The arm that the shot was administered still hurts. Feels like bone or muscle tension.
Release 12 — day 28, dose 4
Symptoms: Arm still hurts in injection area
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Testicular disorder | · | · | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release