4Q8-29748-11367
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 741 / OK
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just a very minor pain where I got the shot, Ive been rubbing it and that has helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Tremor — Feeling: Good · Site: Pain · ChillsFree text: The chills and shaking were quite severe, and lasted for about three minutes last night. After that I was fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Quarantine, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tested positive for Covid Wednesday. Mild symptoms had appeared Tuesday, lasted one day. Retesting this coming Sunday. Self quarantined, basically just had a head cold and sore throat for one day, than those went away.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just a very minor pain where I got the shot, Ive been rubbing it and that has helped.
Systemic reaction (other): The chills and shaking were quite severe, and lasted for about three minutes last night. After that I was fine.
Release 11 — 12 months, dose 2
Symptoms: Tested positive for Covid Wednesday. Mild symptoms had appeared Tuesday, lasted one day. Retesting this coming Sunday. Self quarantined, basically just had a head cold and sore throat for one day, than those went away.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release