4S3-27322-32484
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 933 / CA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Irritability, Pain, Rash, Rash erythematous — Feeling: GoodFree text: I've noticed a few unexplained small red bumps on my hands and elbows since my second shot. They are not painful or irritating in any way but I've never had anything like them before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 7, dose 2MedDRA: Rash, Rash erythematous — Feeling: GoodFree text: Still have the red bumps on hands and elbows.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-29
-
2022-05-02
Survey response — 12 months, dose 2MedDRA: Fatigue, Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I began feeling unwell April 30th. I tested positive for covid 19 with a home test this morning may the 2nd. My symptoms are mild sore throat sinus congestion low-grade fever and headache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I've noticed a few unexplained small red bumps on my hands and elbows since my second shot. They are not painful or irritating in any way but I've never had anything like them before.
Release 8 — day 7, dose 2
Systemic reaction (other): Still have the red bumps on hands and elbows.
Release 11 — 12 months, dose 2
Symptoms: I began feeling unwell April 30th. I tested positive for covid 19 with a home test this morning may the 2nd. My symptoms are mild sore throat sinus congestion low-grade fever and headache.
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 | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release