4JD-25480-75338
5 vaccinations
5 coded responses
48 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 061 / CT
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The shoulder muscle injection site soreness was mild and lasted only 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-09
Dose 2 — Moderna
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Headache, Pain — Feeling: GoodFree text: Got the 2nd Moderna vaccine shot Tuesday, 3/9 at 11am. Experienced very mild side effects of dull headache across forehead, mild torso aches for 28-29 hrs after receiving shot. Experienced loss of appetite lasting 2 full days. All seems normal again 48-50 hrs later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-11-09
Dose 3 — Moderna
- 2022-03-09
-
2022-04-25
Dose 4 — Moderna
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Hypersomnia, Injection site pruritus — Feeling: Good · Site: ItchingFree text: Received the 2nd Moderna Booster on 4/25/22 at 10:30am. The injection site was mildly itchy and that night I slept an extra 2 hours past my normal 6.5-7 hrs. No other symptoms since.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-10-06
Dose 5 — Moderna
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Decreased appetite — Feeling: GoodFree text: appetite is mildly diminished as of breakfast today, 10/7. Got the 3rd Moderna booster yesterday, 10/6, at 4pm. Otherwise, feel completely normal.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
-
2023-01-05
Survey response — 3 months, dose 5MedDRA: Bronchitis, Cough, Respiratory tract congestion, Rhinorrhoea, Secretion discharge — Feeling: FairMedDRA releases: 2024-11
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The shoulder muscle injection site soreness was mild and lasted only 24 hours.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Got the 2nd Moderna vaccine shot Tuesday, 3/9 at 11am. Experienced very mild side effects of dull headache across forehead, mild torso aches for 28-29 hrs after receiving shot. Experienced loss of appetite lasting 2 full days. All seems normal again 48-50 hrs later.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Received the 2nd Moderna Booster on 4/25/22 at 10:30am. The injection site was mildly itchy and that night I slept an extra 2 hours past my normal 6.5-7 hrs. No other symptoms since.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): appetite is mildly diminished as of breakfast today, 10/7. Got the 3rd Moderna booster yesterday, 10/6, at 4pm. Otherwise, feel completely normal.
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release