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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

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-14
    Registered in v-safe
  3. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: I experienced moderate fatigue/tiredness on 4/14 (yesterday)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscular weakness, Musculoskeletal discomfort, Peripheral coldness, Tenderness — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free 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
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Injection site swelling — Feeling: Good
    Free text: Injection site became swollen for two-three days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-11
    Dose 2 — Moderna
  9. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Insomnia, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  10. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Self-medication — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness
    Free 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
  12. 2021-11-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-01-26
    Dose 3 — Moderna
  14. 2022-01-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2022-01-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · Fatigue or tiredness
    Adult check-in
  16. 2022-01-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Insomnia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness
    Free 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
  17. 2022-02-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2022-02-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna
32022-01-26Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): I experienced moderate fatigue/tiredness on 4/14 (yesterday)

2021-04-16

Systemic reaction (other): The right (opposite) hand feels weaker and the same side elbow area feels odd.

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Injection site became swollen for two-three days.

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Lack of appetite due to the pain? Inability to sleep due to pain.

2021-05-15

Systemic reaction (other): I took some Acetaminophen so the pain being gone gone may be temporary.

Release 11 — days 1–6 daily, dose 3

2022-01-30

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

FieldPreferred term2021-092023-042024-11
SDInjection site swelling ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ○
SROPain ✓ ✓ ✓
SROPeripheral coldness · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SROSelf-medication ✓ ✓ ✓
SROTenderness ✓ ✓ ○

✓ active code · ○ coded but marked inactive · blank = not in that release