4RG-35942-92607
5 vaccinations
12 coded responses
51 check-ins
12 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 085 / NJ
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Joint stiffness — Feeling: GoodFree text: Knee Joint stiffness but weather has been cold and damp so it may not be vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Survey response — day 0, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body achesFree text: Some minor stiffness in arm near injection site not notes after first shot 28 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint painsFree text: Significant discomfort in joints with history of some issues. Noteworthy. Not as responsive (at this time) to standard treatments.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
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2021-03-09
Survey response — day 28, dose 2MedDRA: Musculoskeletal discomfort, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Primarily generalized increase in joint discomfort having some impact on sleep pattern. No other issues. Health otherwise goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 35, dose 2MedDRA: Joint stiffness, Pre-existing disease — Feeling: GoodFree text: Joint stiffness at site of year-old knee replacement. Otherwise insignificant problems with either shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-09-29
Dose 3 — Moderna
-
2021-10-26
Survey response — day 21, dose 3MedDRA: Arthralgia, Fatigue, Headache, Injection site pain, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: 1.Slight headache for several hours after third dose. 2. Sore arm at injection site worse than prior shots. Resolved in a few days. 3. After 5 days extremely tired for several days; kept schedule; Back to normal routine; achey knees.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-04
- 2021-11-10
- 2021-12-31
-
2022-03-29
Dose 4 — Moderna
- 2022-03-30
- 2022-03-30
-
2022-03-31
Survey response — days 1–6 daily, dose 4MedDRA: Discomfort, Fatigue, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: None so far. Less joint discomfort than shot#2 and so far no tiredness (occurred around one week after shot #3MedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: None to date.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Reaction to previous exposure to any vaccine — Feeling: GoodFree text: None so far; better than for shot 2 joint pain after several days and shot 3 tirednessMedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Hyperhidrosis — Feeling: Good · Chills, Joint painsFree text: On day 5 post injection, general tiredness with sudden brief period of perspiring for about a half hour. Subsided quickly with no return of event. Feeling fine today.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-05
- 2022-04-12
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-06-28
-
2022-09-09
Dose 5 — Moderna
- 2022-09-27
-
2022-09-27
Survey response — 6 months, dose 4MedDRA: Body temperature increased, Headache, Nasal congestion, Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Got Moderna divalent booster on Sept. 9. Tested positive first time ever for Covid on Sept. 15. Mild case, 1 day fever 100.4, nasal and chest congestion. Body aches, headache quickly resolved when Placed on paxlovid. · Healthcare visit (other): Paxlovid 5 days prescribed.MedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 35, dose 5MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: GoodFree text: Acid reflux worsening but also have had flu vaccine and a pneumococcus booster in the last few weeks.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-09-29 | Moderna | No |
| 4 | 2022-03-29 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Knee Joint stiffness but weather has been cold and damp so it may not be vaccine related.
Release 3 — day 0, dose 2
Systemic reaction (other): Some minor stiffness in arm near injection site not notes after first shot 28 days ago.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Significant discomfort in joints with history of some issues. Noteworthy. Not as responsive (at this time) to standard treatments.
Release 5 — day 28, dose 2
Symptoms: Primarily generalized increase in joint discomfort having some impact on sleep pattern. No other issues. Health otherwise good
Release 5 — day 35, dose 2
Symptoms: Joint stiffness at site of year-old knee replacement. Otherwise insignificant problems with either shot.
Release 10 — day 21, dose 3
Symptoms: 1.Slight headache for several hours after third dose. 2. Sore arm at injection site worse than prior shots. Resolved in a few days. 3. After 5 days extremely tired for several days; kept schedule; Back to normal routine; achey knees.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): None so far. Less joint discomfort than shot#2 and so far no tiredness (occurred around one week after shot #3
Systemic reaction (other): None to date.
Systemic reaction (other): None so far; better than for shot 2 joint pain after several days and shot 3 tiredness
Systemic reaction (other): On day 5 post injection, general tiredness with sudden brief period of perspiring for about a half hour. Subsided quickly with no return of event. Feeling fine today.
Release 12 — 6 months, dose 4
Symptoms: Got Moderna divalent booster on Sept. 9. Tested positive first time ever for Covid on Sept. 15. Mild case, 1 day fever 100.4, nasal and chest congestion. Body aches, headache quickly resolved when Placed on paxlovid.
Healthcare visit (other): Paxlovid 5 days prescribed.
Release 12 — day 35, dose 5
Symptoms: Acid reflux worsening but also have had flu vaccine and a pneumococcus booster in the last few weeks.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release