4XN-11323-18576
4 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body achesFree text: Not sure if its related (dont think so but thought I would mention) I got a stiff neck on side of shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fever · Fatigue or tirednessFree text: Could be due to daylight savings time, I slept in an additional hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Severe: not sure if I caused this though. My posterior border of the lateral one-third of the clavicles got pinched while benching dumbbells. I believe it is self inflicted but if theres a pattern, heres another example.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-18
Survey response — day 35, single doseMedDRA: Nasopharyngitis, Pre-existing disease — Feeling: GoodFree text: Either allergies or spring coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-26
Dose 2 — Moderna
- 2022-03-13
-
2022-03-28
Dose 3 — Moderna
-
2022-09-16
Dose 4 — ModernaCo-administered: Flu
- 2022-10-06
- 2022-10-07
- 2022-10-16
- 2022-10-23
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-26 | Moderna | No |
| 3 | 2022-03-28 | Moderna | No |
| 4 | 2022-09-16 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Not sure if its related (dont think so but thought I would mention) I got a stiff neck on side of shot
Systemic reaction (other): Could be due to daylight savings time, I slept in an additional hour.
Release 6 — day 7, dose 1
Systemic reaction (other): Severe: not sure if I caused this though. My posterior border of the lateral one-third of the clavicles got pinched while benching dumbbells. I believe it is self inflicted but if theres a pattern, heres another example.
Release 7 — day 35, single dose
Symptoms: Either allergies or spring cold
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release