5BM-18511-97133
3 vaccinations
5 coded responses
34 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 110 / NY
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Health check-in — day 0, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-22
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-30
-
2021-02-06
Survey response — day 21, dose 1MedDRA: Headache, Unevaluable event — Feeling: GoodFree text: Slight light Very light head ache?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-14
Dose 2 — Moderna
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort — Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Head pressure gives the feeling of the headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort — Feeling: GoodFree text: Minor pressure in the head brain area in the morning that went away over the course of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Light pressure or light headache feeling at the top of my head that goes awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
-
2021-03-14
Survey response — day 28, dose 2MedDRA: Arthralgia, Headache — Feeling: GoodFree text: I think the slight headaches is mostly gone. The slight feeling of joint pain is there but extremely mild but is noticeable very slightly ever since vaccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-11-15
Dose 3 — Moderna
- 2021-11-18
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-16
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Free text
Release 3 — day 21, dose 1
Symptoms: Slight light Very light head ache?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Head pressure gives the feeling of the headache
Systemic reaction (other): Minor pressure in the head brain area in the morning that went away over the course of the day.
Systemic reaction (other): Light pressure or light headache feeling at the top of my head that goes away
Release 5 — day 28, dose 2
Symptoms: I think the slight headaches is mostly gone. The slight feeling of joint pain is there but extremely mild but is noticeable very slightly ever since vaccine shot.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release