4QS-20747-31667
5 vaccinations
14 coded responses
55 check-ins
14 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 773 / TX
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Very mild, dull ache at injection point. Non-issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Pulmonary embolism — Feeling: GoodFree text: Pulmonary embolism in December 2020.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-24
Survey response — 6 months, dose 2MedDRA: Cancer surgery, Malignant melanoma — Feeling: GoodFree text: Malignant melanoma, stage 1B. Gone now after surgery. Unrelated to Covid shots. Looking forward to booster. Intolerance to selfish anti-vaxxers.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: I just got the shot 30 minutes ago. No reactions yet.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: None.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NopeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: No.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: No, thank you.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: My feet hurt just like they always do.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: GoodFree text: Sore throat, 3 positive Covid tests on 1/5, 1/12, /16 followed by negative tests on 1/19 & 1/21.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: GoodFree text: Tested positive for Covid, had sore throat for 1/2 day and continued to test positive for another week. No other symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Dose 4 — Moderna
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2022-05-18
Survey response — day 7, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: I got the shot a week ago. Ache in L shoulder next day. No lingering effects.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-08-09
-
2022-09-22
Dose 5 — Moderna
-
2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: No.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Survey response — day 7, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: My back has been aching for 20 years.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-09-22 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild, dull ache at injection point. Non-issue.
Release 8 — 3 months, dose 2
Symptoms: Pulmonary embolism in December 2020.
Release 9 — 6 months, dose 2
Symptoms: Malignant melanoma, stage 1B. Gone now after surgery. Unrelated to Covid shots. Looking forward to booster. Intolerance to selfish anti-vaxxers.
Release 10 — day 0, dose 3
Systemic reaction (other): I just got the shot 30 minutes ago. No reactions yet.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): None.
Systemic reaction (other): Nope
Systemic reaction (other): No.
Systemic reaction (other): No, thank you.
Release 10 — day 7, dose 3
Systemic reaction (other): My feet hurt just like they always do.
Release 11 — 3 months, dose 3
Symptoms: Sore throat, 3 positive Covid tests on 1/5, 1/12, /16 followed by negative tests on 1/19 & 1/21.
Release 11 — 6 months, dose 3
Symptoms: Tested positive for Covid, had sore throat for 1/2 day and continued to test positive for another week. No other symptoms.
Release 11 — day 7, dose 4
Systemic reaction (other): I got the shot a week ago. Ache in L shoulder next day. No lingering effects.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No.
Release 12 — day 7, dose 5
Systemic reaction (other): My back has been aching for 20 years.
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 | Cancer surgery | ✓ | · | ✓ |
| SD | Malignant melanoma | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release