54W-37773-59389
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 379 / TN
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Injection site pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: Arm is quite sore around injection site. Felt a little feverish overnight and still a little fatigued in the morning. After I got up and moving, I felt fine. Did not take temp after I got up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Eye irritation, Fatigue, Pain, Pyrexia — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: Although I haven't had any issues today, I did start feeling bad yesterday after I submitted the survey. I felt very fatigued and achy and had chills and scratchy eyes with low grade fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Soreness at injection site is almost gone but developed swelling and soreness around lymph nodes under arm on injection side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Arm is quite sore around injection site. Felt a little feverish overnight and still a little fatigued in the morning. After I got up and moving, I felt fine. Did not take temp after I got up.
Systemic reaction (other): Although I haven't had any issues today, I did start feeling bad yesterday after I submitted the survey. I felt very fatigued and achy and had chills and scratchy eyes with low grade fever.
Systemic reaction (other): Soreness at injection site is almost gone but developed swelling and soreness around lymph nodes under arm on injection side.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Superficial injury of eye | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release