4FK-88139-40044
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 322 / FL
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: After the injection yesterday in the evening I had a burning sensation in in my body it wasn't real strong but I had a burning sensation I don't have it todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: PainFree text: Sore throat todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 21, dose 1MedDRA: Chills, Cold sweat, Cough — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Coughing no production chills cold sweats been going on for 4 days nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Depression — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Depression, was not prepared for this it has hit me hardMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 14, dose 2MedDRA: Cold sweat, Decreased appetite, Feeding disorder, Hospitalisation, Insomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Cold sweats unable to eat unable to sleep this happened after the first injection I ended up in the hospital for 3 days I can't go to the hospital now because I have my dog and I don't have anybody to take care of her right now so I have to sufferMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — day 21, dose 2MedDRA: Decreased appetite, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, no appetit when I can eat something I will vomit, can't stand long periods or walk very far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-29
- 2022-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): After the injection yesterday in the evening I had a burning sensation in in my body it wasn't real strong but I had a burning sensation I don't have it today
Systemic reaction (other): Sore throat today
Release 7 — day 21, dose 1
Symptoms: Coughing no production chills cold sweats been going on for 4 days now
Release 8 — day 7, dose 2
Systemic reaction (other): Depression, was not prepared for this it has hit me hard
Release 8 — day 14, dose 2
Symptoms: Cold sweats unable to eat unable to sleep this happened after the first injection I ended up in the hospital for 3 days I can't go to the hospital now because I have my dog and I don't have anybody to take care of her right now so I have to suffer
Release 8 — day 21, dose 2
Symptoms: Headache, no appetit when I can eat something I will vomit, can't stand long periods or walk very far.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release