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3UA-51515-29043

3 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
777 / TX
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
MJ5-16582-31457 Adult relative or friend · Female · 2021-11-25

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-05
    Dose 2 — Moderna
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  11. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-10
    Survey response — day 35, dose 2
    MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair
    Free text: A scratchy, bordering on sore, throat at the back of my pharynx. Nothing else other than that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-05
    Survey response — 3 months, dose 2
    MedDRA: Arthritis — Feeling: Fair
    Free text: My knees have developed some arthritis while I get up and down in the last 12 months that never was there before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-11-19
    Dose 3 — Moderna
  20. 2021-11-26
    Survey response — day 7, dose 3
    MedDRA: Arthralgia — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: Pains in my knees
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-12-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-11
    Survey response — day 21, dose 3
    MedDRA: Nasopharyngitis, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activities
    Free text: A productive cough, occasional sneezing and runny nose, but no fever. Drainage at the back of my nose at the pharynx. I tested myself for COVID-19 using BinaxNOW. Test was negative for Covid. I believe I have a cold.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-02-18
    Survey response — 3 months, dose 3
    MedDRA: Cough, Productive cough — Feeling: Good
    Free text: Some short periods of coughing with and without producing phlegm.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-05-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-05Moderna
32021-11-19Moderna No

Free text

Release 8 — day 35, dose 2

2021-05-10

Symptoms: A scratchy, bordering on sore, throat at the back of my pharynx. Nothing else other than that.

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: My knees have developed some arthritis while I get up and down in the last 12 months that never was there before.

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): Pains in my knees

Release 10 — day 21, dose 3

2021-12-11

Symptoms: A productive cough, occasional sneezing and runny nose, but no fever. Drainage at the back of my nose at the pharynx. I tested myself for COVID-19 using BinaxNOW. Test was negative for Covid. I believe I have a cold.

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Some short periods of coughing with and without producing phlegm.

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
SDArthritis ✓ ✓ ✓
SDCough · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ · ✓
SDProductive cough · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SDThroat irritation ✓ ✓ ✓
SDUpper-airway cough syndrome · · ✓
SROArthralgia · · ✓

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