537-32810-37280
3 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 800 / CO
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Tiredness evening of day two.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-19
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth — Feeling: Good · Site: Redness, SwellingFree text: On day 7 a lump formed at the injection site, with redness, warmth and itching. Itching persisted through day 8 and 9. Day 10 no more itching and lump mostly gone, redness 4in x 3in remains, little to no heat at site.pMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Arthralgia, Back pain, Chills, Injection site mass, Injection site pruritus, Lethargy, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day 7 developed itching at the site, and a walnut sized lump at the site. Day 8 itching. Day 9 itching subsided and lump went away. Day 10 became lethargic, with back and hip soreness, chills and fever. Day 11 fever gone, still sore. Day 12 all gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-06
-
2021-04-07
Dose 2 — Moderna
- 2021-04-20
- 2021-04-23
- 2021-10-07
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tiredness evening of day two.
Release 5 — day 7, dose 1
Systemic reaction (other): On day 7 a lump formed at the injection site, with redness, warmth and itching. Itching persisted through day 8 and 9. Day 10 no more itching and lump mostly gone, redness 4in x 3in remains, little to no heat at site.p
Release 6 — day 14, dose 1
Symptoms: Day 7 developed itching at the site, and a walnut sized lump at the site. Day 8 itching. Day 9 itching subsided and lump went away. Day 10 became lethargic, with back and hip soreness, chills and fever. Day 11 fever gone, still sore. Day 12 all gone. cut off by CDC
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release