49C-24361-02762
5 vaccinations
2 coded responses
56 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 206 / MD
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Injection site pain — Feeling: Good · Site: Pain · Joint painsFree text: Injection site pain occurred 4 hrs after injection and became moderate until I awakened this morning, after which it has been mild. An odd problem was that I felt slightly feverish but had no fever at about 9 hrs after injection and abated after 12 hrs following injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
-
2022-03-29
Dose 4 — Moderna
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-06-28
-
2022-09-14
Dose 5 — Moderna
- 2022-09-14
-
2022-09-16
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Headache, Skin burning sensation — Feeling: Good · Site: PainFree text: Yesterday, (the day after injection), I had a headache, chills, and my skin would burn slightly when touched. It all disappeared by this morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-03-29 | Moderna | No |
| 5 | 2022-09-14 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site pain occurred 4 hrs after injection and became moderate until I awakened this morning, after which it has been mild. An odd problem was that I felt slightly feverish but had no fever at about 9 hrs after injection and abated after 12 hrs following injection.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Yesterday, (the day after injection), I had a headache, chills, and my skin would burn slightly when touched. It all disappeared by this morning.
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 |
|---|---|---|---|---|
| SRO | Chills | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release