4KH-21115-68079
3 vaccinations
8 coded responses
16 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Weakness in injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — day 7, dose 1MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe hand crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Survey response — day 28, dose 1MedDRA: Back pain, Irregular breathing, Musculoskeletal stiffness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extremely stiff muscles,Stabbing pain through right back area. Pain when breathing in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Dose 2 — Moderna
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain, Painful respiration — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stabbing pain in back right side. Hurts to take deep breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Painful respiration — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stabbing pain through right back when taking deep breaths. Gets worse every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 7, dose 2MedDRA: Flank pain, Painful respiration — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe stabbing pain through back right side when taking breaths. Getting worse daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-04-04
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigué. Tired all of the time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-06-14
-
2021-11-27
Dose 3 — Moderna
- 2022-03-13
-
2022-05-29
Survey response — 6 months, dose 3MedDRA: Cough, Decreased appetite, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion, coughing, headache, body aches, fatigue, loss of appetite, feverishMedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Weakness in injection arm
Release 4 — day 7, dose 1
Systemic reaction (other): Severe hand cramping
Release 5 — day 28, dose 1
Symptoms: Extremely stiff muscles,Stabbing pain through right back area. Pain when breathing in.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Stabbing pain in back right side. Hurts to take deep breath.
Systemic reaction (other): Stabbing pain through right back when taking deep breaths. Gets worse every day.
Release 6 — day 7, dose 2
Systemic reaction (other): Severe stabbing pain through back right side when taking breaths. Getting worse daily.
Release 6 — day 21, dose 2
Symptoms: Fatigué. Tired all of the time.
Release 11 — 6 months, dose 3
Symptoms: Congestion, coughing, headache, body aches, fatigue, loss of appetite, feverish
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Irregular breathing | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release