47U-99222-58626
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Soreness on injection site and some achiness around itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Insomnia, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The pain was quite severe later in the afternoon later in the afternoon after the injection and got worse I note by night. Difficult to move my left shoulder I had to be helped to get out of bed and I had trouble sleeping. The next morning I am better the pain was better OK soMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I still have some weakness in my rt. arm, getting better each day in extending ( adduction), no problem with lateral extension .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-12
- 2021-02-17
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-20
- 2021-03-24
- 2021-04-02
- 2021-04-07
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Genitourinary operation, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I developed watery diarrhea since last weekweek cramps. I had a UROLIFT procedure done May 13. Nko other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-25
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2021-11-04
Dose 3 — Moderna
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, Rhinitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: GoodFree text: Mild sore throat, rhinitis & cough, no fever. Had positive COVID test . Took Paxlovid for 5 days. Retested negative after few days,' Soon wife also tested positive for COVID.8)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Dose 4 — Moderna
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Soreness on injection site and some achiness around it
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The pain was quite severe later in the afternoon later in the afternoon after the injection and got worse I note by night. Difficult to move my left shoulder I had to be helped to get out of bed and I had trouble sleeping. The next morning I am better the pain was better OK so
Systemic reaction (other): I still have some weakness in my rt. arm, getting better each day in extending ( adduction), no problem with lateral extension .
Release 8 — 3 months, dose 2
Symptoms: I developed watery diarrhea since last weekweek cramps. I had a UROLIFT procedure done May 13. Nko other symptoms.
Release 11 — 12 months, dose 2
Symptoms: Mild sore throat, rhinitis & cough, no fever. Had positive COVID test . Took Paxlovid for 5 days. Retested negative after few days,' Soon wife also tested positive for COVID.8)
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Genitourinary operation | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release