4H5-24213-23832
3 vaccinations
7 coded responses
36 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 086 / NJ
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body achesAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I only got approx. 5 hours of sleep, so that may explain the symptoms outside of the injection site pain, swelling and redness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Good · Site: Pain, RednessFree text: Significant reduction in injection site symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Pain, RednessFree text: Redness at injection site has increased suddenly today. The area now looks more like a red bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort — Feeling: GoodFree text: Significant reduction in injection site symptoms over past two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Good · Site: RednessFree text: Continued reduction in injection site symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-12-07
Dose 3 — Moderna
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain, Sleep disorder — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Body aches and moderate fatigue yesterday, one day after vaccination. Today I slept very late and for 11 hours.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-16
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-03-08
-
2022-06-07
Survey response — 6 months, dose 3MedDRA: Blister, Hospitalisation, Localised infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: In hospital for infection with blister(s) in left footMedDRA releases: 2024-11 · check-in free text available
-
2022-06-07
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-08
-
2022-06-08
Callback requested for10:05AM ET
-
2022-06-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I only got approx. 5 hours of sleep, so that may explain the symptoms outside of the injection site pain, swelling and redness.
Systemic reaction (other): Significant reduction in injection site symptoms
Systemic reaction (other): Redness at injection site has increased suddenly today. The area now looks more like a red bruise.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Significant reduction in injection site symptoms over past two days.
Systemic reaction (other): Continued reduction in injection site symptoms.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Body aches and moderate fatigue yesterday, one day after vaccination. Today I slept very late and for 11 hours.
Release 11 — 6 months, dose 3
Symptoms: In hospital for infection with blister(s) in left foot
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 | Blister | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release