47H-26478-36705
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-21
- 2021-02-26
- 2021-03-06
- 2021-03-13
- 2021-03-19
- 2021-05-09
- 2021-08-06
-
2021-11-01
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
- 2021-11-06
- 2021-11-07
-
2021-11-09
Survey response — day 7, dose 3MedDRA: Feeling abnormal, Influenza like illness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I just don't feel right. Flu like.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — day 14, dose 3MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I was sick when I sent my last update to you. I indicated all my symptoms and not sure why. I had a rapid covid test today and it was negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-16
- 2021-11-25
- 2021-12-10
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Adverse reaction — Feeling: FairFree text: I don't think it's relatedMedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Survey response — 6 months, dose 3MedDRA: Injected limb mobility decreased, Insomnia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Not sure if this is related, but the arm I received all three Covid shots has become extremely painful. I'm unable to do many things including sleeping on my left side. Don't know if others have experienced this.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): I just don't feel right. Flu like.
Release 10 — day 14, dose 3
Symptoms: I was sick when I sent my last update to you. I indicated all my symptoms and not sure why. I had a rapid covid test today and it was negative.
Release 11 — 3 months, dose 3
Symptoms: I don't think it's related
Release 11 — 6 months, dose 3
Symptoms: Not sure if this is related, but the arm I received all three Covid shots has become extremely painful. I'm unable to do many things including sleeping on my left side. Don't know if others have experienced this.
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 | Adverse reaction | · | · | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release