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3PJ-57900-91303

3 vaccinations 19 coded responses 40 check-ins 19 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
770 / TX
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site swelling, Pain — Feeling: Good · Site: Pain, Swelling
    Free text: Pain is very slight. Skin around the injection site slightly swollen and sensitive to touch. No interference with day to day activities. Better than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-03
    Survey response — day 14, dose 1
    MedDRA: Cough, Increased upper airway secretion — Feeling: Good
    Free text: Excess mucus secretion in throat causing cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-17
    Dose 2 — Moderna
  14. 2021-04-17
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Swelling · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Fever · None
    Adult check-in
  17. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Swelling
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-24
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-06
    Dose 3 — Moderna
  30. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats — Feeling: Good
    Free text: Have experienced night sweats last two nights. Could be my body is still adjusting my temperature although I don't feel feverish.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats — Feeling: Good
    Free text: Had another round of night sweat despite not feeling feverish.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-15
    Survey response — day 7, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-12-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna
32021-12-06Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): None

2021-03-22

Systemic reaction (other): Pain is very slight. Skin around the injection site slightly swollen and sensitive to touch. No interference with day to day activities. Better than yesterday.

2021-03-24

Systemic reaction (other): None

2021-03-25

Systemic reaction (other): None

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Excess mucus secretion in throat causing cough.

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): No

2021-04-20

Systemic reaction (other): None

2021-04-21

Systemic reaction (other): None

2021-04-22

Systemic reaction (other): None

2021-04-23

Systemic reaction (other): None

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): None

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): None

2021-12-08

Systemic reaction (other): None

2021-12-09

Systemic reaction (other): Have experienced night sweats last two nights. Could be my body is still adjusting my temperature although I don't feel feverish.

2021-12-10

Systemic reaction (other): Had another round of night sweat despite not feeling feverish.

2021-12-11

Systemic reaction (other): No

2021-12-12

Systemic reaction (other): No

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): None

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
SDCough ✓ ✓ ✓
SDIncreased upper airway secretion ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONight sweats · · ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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