44V-24757-74375
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Night sweats, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: After Shot update: OMG! Just prior to the 12 hour mark I was only experiencing sore arm by the shot, thats it nothing else. At exactly 12 hours into the time I received the shot, (10:38 pm) it started. Chills, 100% body aches, headache, night sweats and a fever of 101.6, all at once! Absolutely the worst night of my life! Fever is now gone, chills remain, and every inch of my body still is in pain!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-04-07
- 2021-08-25
-
2021-08-31
Dose 3 — Moderna
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: GoodFree text: Received a positive Covid-19 via a home test on 1/1/2022, while on vacation in (b)(6). Thankfully I'm vaccinated and had my booster so I had little to no symptoms at all.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-31 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): After Shot update: OMG! Just prior to the 12 hour mark I was only experiencing sore arm by the shot, thats it nothing else. At exactly 12 hours into the time I received the shot, (10:38 pm) it started. Chills, 100% body aches, headache, night sweats and a fever of 101.6, all at once! Absolutely the worst night of my life! Fever is now gone, chills remain, and every inch of my body still is in pain!
Release 11 — 12 months, dose 2
Symptoms: Received a positive Covid-19 via a home test on 1/1/2022, while on vacation in (b)(6). Thankfully I'm vaccinated and had my booster so I had little to no symptoms at all.
redacted (b)(6)
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 | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release