3GJ-13503-08818
5 vaccinations
7 coded responses
59 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
-
2021-01-22
Health check-in — day 0, dose 1Feeling: Good · Chills, Headache, Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-31
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-24
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Tendonitis — Feeling: GoodFree text: Achilles TendinitisMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
-
2021-12-01
Survey response — day 35, dose 3MedDRA: Lower respiratory tract infection, Productive cough — Feeling: GoodFree text: Chest cold, wet caugh, no fever, no chills, no aches/painsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: GoodFree text: Cold symptoms, wet caugh, sneezing, runny nose, post nasal drip, slight sore throat. Chest congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Gastroenteritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gastroenteritis 20-24 April .MedDRA releases: 2024-11 · check-in free text available
-
2022-06-10
Dose 4 — Moderna
-
2022-06-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-15
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Chills, Headache, Injection site pain, Myalgia, No reaction on previous exposure to drug, Pain in extremity, Pyrexia — Feeling: Good · Muscle or body achesFree text: I had significant side effects for the first 24-48 hours. Chills, head ache, muscle aches joint pain, fever, site/arm pain. This was not the case for vaccines 1-3. Those effect were mild and 24 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
-
2022-07-15
Survey response — day 35, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Tested positive for COVID19 on 14 June 2022, at 8:20pm.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-15
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-18
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-22
- 2022-09-09
-
2022-10-18
Dose 5 — ModernaCo-administered: Flu
- 2022-10-22
- 2022-10-23
- 2022-10-24
-
2022-10-25
Survey response — day 7, dose 5MedDRA: Adverse reaction, Immediate post-injection reaction — Feeling: GoodFree text: No others, but I shoukd note that I did experience several effects in the 24-48 hours following my recent booster. I was "fine" at the time of this update but your reporting system doesn't ask for effects immediately after the vax.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Achilles Tendinitis
Release 10 — day 35, dose 3
Symptoms: Chest cold, wet caugh, no fever, no chills, no aches/pains
Release 10 — day 42, dose 3
Symptoms: Cold symptoms, wet caugh, sneezing, runny nose, post nasal drip, slight sore throat. Chest congestion.
Release 11 — 6 months, dose 3
Symptoms: Gastroenteritis 20-24 April .
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had significant side effects for the first 24-48 hours. Chills, head ache, muscle aches joint pain, fever, site/arm pain. This was not the case for vaccines 1-3. Those effect were mild and 24 hours
Release 12 — day 35, dose 4
Symptoms: Tested positive for COVID19 on 14 June 2022, at 8:20pm.
Release 12 — day 7, dose 5
Systemic reaction (other): No others, but I shoukd note that I did experience several effects in the 24-48 hours following my recent booster. I was "fine" at the time of this update but your reporting system doesn't ask for effects immediately after the vax.
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 | Gastroenteritis | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tendonitis | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No reaction on previous exposure to drug | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release