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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

  1. 2021-02-08
    Registered in v-safe
  2. 2021-02-08
    Dose 1 — Moderna
  3. 2021-02-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: joint pain seems to occur especially in the arm socket on the injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Joint pains
    Free text: wednesdays symptoms similar to tuesdays but not as bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Osteoarthritis, Pre-existing disease — Feeling: Good · Joint pains
    Free text: knee pain not sure if its related or just osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Dose 2 — Moderna
  13. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  14. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache — Feeling: Good
    Free text: only had slight fatigue and slight headache on morning of 3/11/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-23
    Dose 3 — Moderna
  25. 2021-11-23
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: got moderna booster at 1 pm cst so no symptoms yet
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  27. 2021-11-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site nodule, Injection site swelling — Feeling: Good · Site: Swelling
    Free text: had moderate swelling at injection site on thanksgiving. felt like a big knot. otherwise no symptoms
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-09Moderna
32021-11-23Moderna No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

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

2021-02-11

Systemic reaction (other): wednesdays symptoms similar to tuesdays but not as bad

2021-02-12

Systemic reaction (other): knee pain not sure if its related or just osteoarthritis

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): dizziness

2021-03-12

Systemic reaction (other): only had slight fatigue and slight headache on morning of 3/11/21

Release 10 — day 0, dose 3

2021-11-23

Systemic reaction (other): got moderna booster at 1 pm cst so no symptoms yet

Release 10 — days 1–6 daily, dose 3

2021-11-26

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site nodule · · ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling · · ✓
SRONo adverse event · · ✓
SROOsteoarthritis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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