4AR-15463-89856
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 605 / IL
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Moderna
- 2021-02-28
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-06
- 2021-03-08
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: About a week after the vaccine, i had a sore arm again where the vaccination site was. I didn't notice any bruising or redness, just sore and not as sore as the day after the vaccination was. It was a lesser degree of soreness 3/10 vs 5/10.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-29
Dose 2 — Moderna
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-04
- 2021-04-05
-
2021-04-12
Survey response — day 14, dose 2MedDRA: Muscle strain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pulled a muscle in my shoulder/back... the same arm that i had the injection in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
-
2021-05-15
Survey response — day 42, dose 2MedDRA: Arthralgia, Back pain, Myalgia, Neck pain, Pain in extremity — Feeling: GoodFree text: Get a muscle ache in my neck and back... seems to progressively get worse as the day goes on. When i wake, it's nothing at all, but, by tge end of the day, it feels like my left shoulder and base of my neck in the back are achingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-28
- 2021-09-27
-
2021-11-12
Dose 3 — Moderna
- 2021-12-02
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: About a week after the vaccine, i had a sore arm again where the vaccination site was. I didn't notice any bruising or redness, just sore and not as sore as the day after the vaccination was. It was a lesser degree of soreness 3/10 vs 5/10.
Release 7 — day 14, dose 2
Symptoms: Pulled a muscle in my shoulder/back... the same arm that i had the injection in.
Release 8 — day 42, dose 2
Symptoms: Get a muscle ache in my neck and back... seems to progressively get worse as the day goes on. When i wake, it's nothing at all, but, by tge end of the day, it feels like my left shoulder and base of my neck in the back are aching
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release