58K-21534-98132
4 vaccinations
5 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 076 / NJ
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Slight sore shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Slight soreness in shoulder where I got shot, almost all soreness is gone compared to yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
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2021-04-28
Dose 2 — Moderna
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2021-04-28
Survey response — day 0, dose 2MedDRA: Headache, Immediate post-injection reaction, Paraesthesia, Tremor — Feeling: Fair · Site: ItchingFree text: I had a mild headache all day and one hour after shot it was gone. Also within first 5 minutes after shot my whole arm and hand felt like it was tingling and I would shake to get blood flowing- nurse said I should be ok because I could feel my fingertipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
-
2021-05-05
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-12
- 2021-05-19
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2021-05-26
Survey response — day 28, dose 2MedDRA: Gait disturbance, Joint injury, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My leg above outer right ankle hurts and is stiff/ feels swollen-I felt for a couple days but today it hurts and I walk with a limp. I will see my doctor if persists. About 2 weeks ago I rolled my ankle twice in one day so this may be why.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-29
-
2021-11-29
Dose 3 — Moderna
- 2022-06-04
-
2022-06-07
Dose 4 — Pfizer-BioNTech
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2022-06-08
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-09
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-20
- 2022-09-06
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2023-06-09
Survey response — 12 months, dose 4MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-06-07 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight sore shoulder
Systemic reaction (other): Slight soreness in shoulder where I got shot, almost all soreness is gone compared to yesterday
Release 8 — day 0, dose 2
Systemic reaction (other): I had a mild headache all day and one hour after shot it was gone. Also within first 5 minutes after shot my whole arm and hand felt like it was tingling and I would shake to get blood flowing- nurse said I should be ok because I could feel my fingertips
Release 8 — day 28, dose 2
Symptoms: My leg above outer right ankle hurts and is stiff/ feels swollen-I felt for a couple days but today it hurts and I walk with a limp. I will see my doctor if persists. About 2 weeks ago I rolled my ankle twice in one day so this may be why.
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 | Fatigue | · | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint injury | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release