4JZ-23598-98318
5 vaccinations
8 coded responses
58 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 923 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
-
2021-03-19
Survey response — day 0, dose 1MedDRA: Hypersensitivity — Feeling: GoodFree text: About 5hrs after the shot I feel a little spaced out, like my body's senses are in hyper mode.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Feeling abnormal, Feeling jittery — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Last night had chills and shivers. Spacey and jittery last night and today. Afraid of getting my 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I had bad issues from my first shot from Friday to Saturday evening as per my report on here. I'm afraid to get my 2nd dose. I heard it has worse effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Barely a little sore arm. Second shot is 99% better than the first dose..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
- 2021-10-15
-
2021-11-29
Dose 3 — Moderna
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-07
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-11
-
2022-02-28
Survey response — 3 months, dose 3MedDRA: Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just had a 24hr flu like symptom Feb 23 but was NOT covid per home test. (I had the flu vaccine back in October)MedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Dose 4 — Moderna
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very sore arm one day after the shot still hurtsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Sore armMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-17
- 2022-05-19
- 2022-05-20
- 2022-05-28
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-08-12
- 2022-11-11
-
2022-11-19
Dose 5 — Pfizer-BioNTech
-
2022-12-09
Survey response — day 14, dose 5MedDRA: Cough, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Dec 6, 2022 = congestion, fever, coughing, sore throat, achyMedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-02-18
- 2023-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-11-19 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): About 5hrs after the shot I feel a little spaced out, like my body's senses are in hyper mode.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Last night had chills and shivers. Spacey and jittery last night and today. Afraid of getting my 2nd shot
Systemic reaction (other): I had bad issues from my first shot from Friday to Saturday evening as per my report on here. I'm afraid to get my 2nd dose. I heard it has worse effects.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Barely a little sore arm. Second shot is 99% better than the first dose..
Release 11 — 3 months, dose 3
Symptoms: Just had a 24hr flu like symptom Feb 23 but was NOT covid per home test. (I had the flu vaccine back in October)
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very sore arm one day after the shot still hurts
Systemic reaction (other): Sore arm
Release 12 — day 14, dose 5
Symptoms: Dec 6, 2022 = congestion, fever, coughing, sore throat, achy
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 | Cough | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release