43R-20922-03707
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 024 / MA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- 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: Headache — Feeling: Good · Site: PainFree text: Minor headache late afternoon to early evening last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Good · Muscle or body achesFree text: Soreness in neck area on same side as injection - but cause could be from bad posture while sitting at computer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Dose 2 — Moderna
- 2021-05-24
-
2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-26
- 2021-05-27
-
2021-05-28
Survey response — days 1–6 daily, dose 2MedDRA: Muscle discomfort, Muscle tightness — Feeling: GoodFree text: No pain, but some muscle tightness on inside of bicep when I stretch out arm. Nothing debilitating, just minor discomfort at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-07-05
- 2021-08-24
- 2021-11-22
-
2021-12-08
Dose 3 — Moderna
-
2022-06-08
Survey response — 6 months, dose 3MedDRA: Asthenia, Cough, Insomnia, Myalgia, Nausea, Office visit, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme coughing, extreme post-nasal drip, weakness, minor nausea for a short time, back muscles sore from coughing so violently, lack of sleep. · Healthcare visit (other): Primary doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-09
-
2022-09-06
Dose 4 — Moderna
-
2022-12-13
Survey response — 12 months, dose 3MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Upper-airway cough syndrome — Feeling: FairFree text: I currently have cold symptoms, I.e. runny nose, nasal congestion, post nasal drip, some minor coughing.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-09-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Minor headache late afternoon to early evening last night.
Systemic reaction (other): Soreness in neck area on same side as injection - but cause could be from bad posture while sitting at computer.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): No pain, but some muscle tightness on inside of bicep when I stretch out arm. Nothing debilitating, just minor discomfort at times.
Release 11 — 6 months, dose 3
Symptoms: Extreme coughing, extreme post-nasal drip, weakness, minor nausea for a short time, back muscles sore from coughing so violently, lack of sleep.
Healthcare visit (other): Primary doctor
Release 12 — 12 months, dose 3
Symptoms: I currently have cold symptoms, I.e. runny nose, nasal congestion, post nasal drip, some minor coughing.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release