52S-49383-74992
5 vaccinations
7 coded responses
53 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 864 / AZ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Possibly a mild sinus infection or just really bad allergic reaction to whatever is blowing through these few days. No other symptoms and these are known allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-24
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-10-22
Dose 3 — Moderna
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Influenza like illness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Flu likeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-01
Dose 4 — Moderna
-
2022-04-15
Survey response — day 14, dose 4MedDRA: Epigastric discomfort, Feeling hot, Pain, Pain in extremity — Feeling: GoodFree text: I had the most side effects associated with this last jab. Very sore arm, feverish feeling (no fever) for several days, some irritation in the gut, and achy all over. But was feeling back to normal within 5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-08
-
2022-05-13
Survey response — day 42, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had very aggressive head cold, low fever, bough, sore throat, from 5/10 to present (slackening). Several negative at home Covid tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 5 — ModernaCo-administered: Flu
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: ThirstyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Sore to touch injection sites.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-03
- 2022-10-05
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-11-05
- 2022-11-12
-
2022-12-29
Survey response — 3 months, dose 5MedDRA: Cough, Nasal congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal congestion, sinus headache, cough.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-29 | Moderna | Flu |
Free text
Release 3 — day 21, dose 1
Symptoms: Possibly a mild sinus infection or just really bad allergic reaction to whatever is blowing through these few days. No other symptoms and these are known allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Flu like
Release 11 — day 14, dose 4
Symptoms: I had the most side effects associated with this last jab. Very sore arm, feverish feeling (no fever) for several days, some irritation in the gut, and achy all over. But was feeling back to normal within 5 days.
Release 11 — day 42, dose 4
Symptoms: Had very aggressive head cold, low fever, bough, sore throat, from 5/10 to present (slackening). Several negative at home Covid tests.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Thirsty
Systemic reaction (other): Sore to touch injection sites.
Release 12 — 3 months, dose 5
Symptoms: Nasal congestion, sinus headache, cough.
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 | Cough | · | · | ✓ |
| SD | Epigastric discomfort | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Hypersensitivity | ○ | ○ | ○ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinusitis | ○ | ○ | ○ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release