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3YF-17127-07582

5 vaccinations 6 coded responses 52 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
602 / IL
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-24
    Dose 2 — Moderna
  11. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Mild -Not a problem-Arm is sore where I got the shot is all
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain, Sleep disorder, Unevaluable event — Feeling: Good
    Free text: Had pain in my neck. But not related to shot .Slept funny
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain — Feeling: Good
    Free text: Mild today -yesterday moderate Neck Pain -Better than yesterday. Do not think it is from the shot .On left side now Got shot in right arm -occurred 5 days after I got the shot also
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-26
    Dose 3 — Moderna
  27. 2021-10-26
    Survey response — day 0, dose 3
    MedDRA: Fatigue — Feeling: Good
    Free text: Only thing I notice is I'm starting to get tired
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Pain in arm where I hit the shot
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good
    Free text: Arm still sore where I got the shot
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-08
    Dose 4 — Moderna
  42. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-10
    Dose 5 — Moderna
    Co-administered: Flu
  51. 2022-10-20
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  52. 2022-10-24
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-10-31
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-11-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-11-14
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-11-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  57. 2023-01-09
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  58. 2023-04-10
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna
32021-10-26Moderna No
42022-04-08Moderna No
52022-10-10Moderna Flu

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Mild -Not a problem-Arm is sore where I got the shot is all

2021-03-01

Systemic reaction (other): Had pain in my neck. But not related to shot .Slept funny

2021-03-02

Systemic reaction (other): Mild today -yesterday moderate Neck Pain -Better than yesterday. Do not think it is from the shot .On left side now Got shot in right arm -occurred 5 days after I got the shot also

Release 10 — day 0, dose 3

2021-10-26

Systemic reaction (other): Only thing I notice is I'm starting to get tired

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Pain in arm where I hit the shot

2021-10-28

Systemic reaction (other): Arm still sore where I got the shot

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
SROFatigue · · ✓
SROInjection site pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity · · ✓
SROSleep disorder ✓ · ✓
SROUnevaluable event ○ ✓ ○

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

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