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3V6-30262-09708

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
079 / NJ
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Survey response — day 0, dose 1
    MedDRA: Muscle tightness — Feeling: Good · Muscle or body aches
    Free text: Slight tightness in the neck on the side where the shot was administered
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Injection site pain, Pain — Feeling: Good · Site: Pain
    Free text: Just soreness in injection site and around the shoulder. Had mild, full-body aches last night and this morning. Feel good except for sore shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain
    Free text: Woke up with Slight pain in shoulder. Almost no pain by evening. Very slight soreness around immediate injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-09
    Dose 2 — Moderna
  14. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Headache
    Free text: Nit sure if headache is from this or not. I generally dont get them
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Slight tightness in the neck on the side where the shot was administered

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Just soreness in injection site and around the shoulder. Had mild, full-body aches last night and this morning. Feel good except for sore shoulder

2021-01-14

Systemic reaction (other): Woke up with Slight pain in shoulder. Almost no pain by evening. Very slight soreness around immediate injection site

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Nit sure if headache is from this or not. I generally dont get them

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
SROArthralgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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