4JJ-33257-19131
3 vaccinations
6 coded responses
14 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-13
Dose 1 — Moderna
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2021-04-14
Registered in v-safe
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I experienced moderate fatigue/tiredness on 4/14 (yesterday)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness, Musculoskeletal discomfort, Peripheral coldness, Tenderness — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: The right (opposite) hand feels weaker and the same side elbow area feels odd.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-20
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — day 14, dose 1MedDRA: Injection site swelling — Feeling: GoodFree text: Injection site became swollen for two-three days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Dose 2 — Moderna
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Insomnia, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of appetite due to the pain? Inability to sleep due to pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Self-medication — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tirednessFree text: I took some Acetaminophen so the pain being gone gone may be temporary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-11-10
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2022-01-26
Dose 3 — Moderna
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2022-01-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2022-01-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
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2022-01-30
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessFree text: Sleep has been notably lacking although it's not due to pain like during my second dose.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-01
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2022-01-26 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I experienced moderate fatigue/tiredness on 4/14 (yesterday)
Systemic reaction (other): The right (opposite) hand feels weaker and the same side elbow area feels odd.
Release 8 — day 14, dose 1
Symptoms: Injection site became swollen for two-three days.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite due to the pain? Inability to sleep due to pain.
Systemic reaction (other): I took some Acetaminophen so the pain being gone gone may be temporary.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Sleep has been notably lacking although it's not due to pain like during my second dose.
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 | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ○ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release