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
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
- 2021-03-12
- 2021-03-19
-
2021-04-05
Dose 2 — Moderna
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-08
- 2021-04-10
- 2021-04-11
- 2021-04-20
- 2021-04-26
- 2021-05-03
-
2021-05-10
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: FairFree 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
- 2021-05-17
-
2021-07-05
Survey response — 3 months, dose 2MedDRA: Arthritis — Feeling: FairFree 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
-
2021-11-19
Dose 3 — Moderna
-
2021-11-26
Survey response — day 7, dose 3MedDRA: Arthralgia — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: Pains in my kneesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
-
2021-12-11
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-12-18
- 2021-12-25
- 2021-12-31
-
2022-02-18
Survey response — 3 months, dose 3MedDRA: Cough, Productive cough — Feeling: GoodFree text: Some short periods of coughing with and without producing phlegm.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 8 — day 35, dose 2
Symptoms: A scratchy, bordering on sore, throat at the back of my pharynx. Nothing else other than that.
Release 9 — 3 months, dose 2
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
Systemic reaction (other): Pains in my knees
Release 10 — day 21, dose 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release