4K3-20752-14304
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 880 / NM
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache, Injection site pain, Nausea — Feeling: Good · HeadacheFree text: Had headache all next day after shot was received 3-4-21 at 7pm and it lasted until afternoon not 3-6-2021. Had nausea within first hour of receiving shot which disappeared after three hours. Had chills on and off Friday night through Saturday morning. Had fatigue all day Saturday 3-6-2021 until next morning. Arm soreness at injection site until Sunday afternoon at which time mostly all gone..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
-
2021-09-30
Survey response — 6 months, dose 2MedDRA: Limb discomfort, Myalgia — Feeling: FairFree text: Not sure if related or not but have had upper arm and muscle pain in right arm, same arm I received vaccination in. Had been bothering me last 2.5 months on and off and seems to be getting better slowly.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Had headache all next day after shot was received 3-4-21 at 7pm and it lasted until afternoon not 3-6-2021. Had nausea within first hour of receiving shot which disappeared after three hours. Had chills on and off Friday night through Saturday morning. Had fatigue all day Saturday 3-6-2021 until next morning. Arm soreness at injection site until Sunday afternoon at which time mostly all gone..
Release 9 — 6 months, dose 2
Symptoms: Not sure if related or not but have had upper arm and muscle pain in right arm, same arm I received vaccination in. Had been bothering me last 2.5 months on and off and seems to be getting better slowly.
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 | Limb discomfort | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release