54M-54492-14283
4 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-15
- 2021-01-16
-
2021-01-23
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue and muscle aches days 12-14 after vaccine. Mild intermittent headache.No respiratory, GI symptoms.No fever.Better today. Did not work out yesterday because of it. Took afternoon nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
-
2021-02-13
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-11-12
Dose 3 — Moderna
-
2022-02-08
Survey response — 12 months, dose 2MedDRA: Chills, Cough, Pain, SARS-CoV-2 test positive, Unevaluable event, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: URI, ST, chills, aches, mild cough 4-5 days. Jan 5. Positive rapid COVID-19 Binax.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Dose 4 — Moderna
- 2022-07-14
- 2022-07-18
- 2022-09-07
-
2022-12-05
Survey response — 6 months, dose 4MedDRA: Fatigue, Pain — Feeling: GoodFree text: Only post vax typical fatigue and mild aches day after Moderna bivalent booster received 9 days ago. Lasted less than 48 hrs.MedDRA releases: 2024-11 · check-in free text available
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-06-06 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: Fatigue and muscle aches days 12-14 after vaccine. Mild intermittent headache.No respiratory, GI symptoms.No fever.Better today. Did not work out yesterday because of it. Took afternoon nap.
Release 11 — 12 months, dose 2
Symptoms: URI, ST, chills, aches, mild cough 4-5 days. Jan 5. Positive rapid COVID-19 Binax.
Release 12 — 6 months, dose 4
Symptoms: Only post vax typical fatigue and mild aches day after Moderna bivalent booster received 9 days ago. Lasted less than 48 hrs.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release