4N9-13240-63157
3 vaccinations
7 coded responses
31 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 380 / TN
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
-
2021-02-08
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: joint pain seems to occur especially in the arm socket on the injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: wednesdays symptoms similar to tuesdays but not as badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Osteoarthritis, Pre-existing disease — Feeling: Good · Joint painsFree text: knee pain not sure if its related or just osteoarthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-15
- 2021-02-23
- 2021-03-02
- 2021-03-08
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: only had slight fatigue and slight headache on morning of 3/11/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-08
- 2021-09-07
-
2021-11-23
Dose 3 — Moderna
-
2021-11-23
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: got moderna booster at 1 pm cst so no symptoms yetMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Injection site nodule, Injection site swelling — Feeling: Good · Site: SwellingFree text: had moderate swelling at injection site on thanksgiving. felt like a big knot. otherwise no symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-16
- 2021-12-21
- 2021-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): joint pain seems to occur especially in the arm socket on the injection arm
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): wednesdays symptoms similar to tuesdays but not as bad
Systemic reaction (other): knee pain not sure if its related or just osteoarthritis
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): dizziness
Systemic reaction (other): only had slight fatigue and slight headache on morning of 3/11/21
Release 10 — day 0, dose 3
Systemic reaction (other): got moderna booster at 1 pm cst so no symptoms yet
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): had moderate swelling at injection site on thanksgiving. felt like a big knot. otherwise no symptoms
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Osteoarthritis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release