3K3-21223-61316
5 vaccinations
7 coded responses
45 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 038 / NH
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: ItchingFree text: soar and itchy at injection site, fairly mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain, Myalgia, Rhinorrhoea, Self-medication — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Slight headache; entire upper half of injected arm and back on that side has muscle ache; some sniffles. Tylenol manages all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-02-06
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: GoodFree text: Red, itchy, and sore at injection site. This started after a week of all clear at the site. Otherwise, fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Impaired work ability — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Sunday was worse; took Monday off workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-08
-
2021-03-13
Survey response — day 21, dose 2MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pains and new meds prescribed for that. Not related to the vaccine, but including for completeness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Fair · Fatigue or tirednessFree text: Chest painsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Adverse reaction — Feeling: FairFree text: Got the Shingles vaccine Thursday. Stronger side effects than for any of my three Covid shots.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
-
2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-21
-
2022-04-03
Dose 4 — Moderna
- 2022-04-18
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-05
-
2022-09-10
Dose 5 — Moderna
- 2022-10-02
- 2022-10-02
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
| 5 | 2022-09-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): soar and itchy at injection site, fairly mild
Systemic reaction (other): Slight headache; entire upper half of injected arm and back on that side has muscle ache; some sniffles. Tylenol manages all.
Release 3 — day 14, dose 1
Symptoms: Red, itchy, and sore at injection site. This started after a week of all clear at the site. Otherwise, fine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sunday was worse; took Monday off work
Release 5 — day 21, dose 2
Symptoms: Chest pains and new meds prescribed for that. Not related to the vaccine, but including for completeness.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pains
Release 10 — day 28, dose 3
Symptoms: Got the Shingles vaccine Thursday. Stronger side effects than for any of my three Covid shots.
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 | Adverse reaction | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release