3V4-33296-63955
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 221 / VA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 1 — Moderna
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Injection site pain, Muscle fatigue — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Injection site is soar (left shoulder), also back muscles but this seems to be accentuated by muscle fatigue from archery the day prior to the vaccine, feels like a whole day beach volleyball tournament the day after... Nothing rest and lost of water won't healMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Good · Abdominal painFree text: Chest pain when waking up. Had done pushups the night before, but never had that type of pain. Did not last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Dose 2 — Moderna
-
2021-05-24
Survey response — day 0, dose 2MedDRA: Head discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Not really a headache but more the feeling around the temple, eyes and head that my body is fighting something,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats, Self-medication, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaFree text: Sweating at night during my sheep, Acetaminophenmatophine helpedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-29
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-23
- 2021-06-30
- 2021-07-05
- 2021-08-23
- 2021-11-22
- 2022-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is soar (left shoulder), also back muscles but this seems to be accentuated by muscle fatigue from archery the day prior to the vaccine, feels like a whole day beach volleyball tournament the day after... Nothing rest and lost of water won't heal
Systemic reaction (other): Chest pain when waking up. Had done pushups the night before, but never had that type of pain. Did not last long
Release 8 — day 0, dose 2
Systemic reaction (other): Not really a headache but more the feeling around the temple, eyes and head that my body is fighting something,
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating at night during my sheep, Acetaminophenmatophine helped
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle fatigue | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release