3WY-87541-10137
4 vaccinations
6 coded responses
55 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Both arms exhibited moderate pain during the night. Better during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body achesFree text: Only at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-31
Dose 3 — Moderna
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2021-12-14
Survey response — day 42, dose 3MedDRA: Headache, Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Headache, runny/stuffy nose past 6 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
-
2022-05-01
Dose 4 — Moderna
- 2022-05-01
- 2022-05-01
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-15
- 2022-05-22
-
2022-05-29
Survey response — day 28, dose 4MedDRA: Headache, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Had headache and cold like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-05
Survey response — day 35, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Sneezing, Sputum discoloured — Feeling: FairFree text: Developed some congestion with sneezing, cough and occasional green sputum. Basically a cold. No SOB. everything else is ok.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
-
2022-07-31
Survey response — 3 months, dose 4MedDRA: Lower respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: Chest cold. Lasted 1 week upon my return from a 5 day cruise to Bermuda. Antigen test negative twice tested during that week.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Both arms exhibited moderate pain during the night. Better during the day.
Systemic reaction (other): Only at night
Release 10 — day 42, dose 3
Symptoms: Headache, runny/stuffy nose past 6 days.
Release 11 — day 28, dose 4
Symptoms: Had headache and cold like symptoms
Release 11 — day 35, dose 4
Symptoms: Developed some congestion with sneezing, cough and occasional green sputum. Basically a cold. No SOB. everything else is ok.
Release 12 — 3 months, dose 4
Symptoms: Chest cold. Lasted 1 week upon my return from a 5 day cruise to Bermuda. Antigen test negative twice tested during that week.
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release