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5C3-21886-97754

4 vaccinations 5 coded responses 27 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
900 / CA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-16
    Survey response — day 0, dose 1
    MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches
    Free text: Flushed face that feels like fever but is not
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chills, Fatigue, Head discomfort, Headache, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe chills overnight and all morning, body aches and major joint pain. This morning it felt like my head was in a vice. My knees killing me, couldn't get comfortable etc. As of now, I think the fever is gone, I still have a mild headache and I'm just EXHAUSTED. My vaccine was 29 hrs ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-20
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-04-27
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-06-15
    Survey response — 3 months, dose 1
    MedDRA: Hypersensitivity, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had major allergy symptoms last week after returning from an Alabama trip. I got Covid tested late last week and it was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-09-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-10-22
    Dose 2 — Moderna
  19. 2021-10-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-10-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-11-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-24
    Dose 3 — Moderna
  28. 2022-04-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-08-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-09-11
    Dose 4 — Moderna
  31. 2023-02-24
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  32. 2023-03-12
    Survey response — 6 months, dose 4
    MedDRA: Viral upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Janssen/Johnson & Johnson
22021-10-22Moderna No
32022-02-24Moderna No
42022-09-11Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Flushed face that feels like fever but is not

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Severe chills overnight and all morning, body aches and major joint pain. This morning it felt like my head was in a vice. My knees killing me, couldn't get comfortable etc. As of now, I think the fever is gone, I still have a mild headache and I'm just EXHAUSTED. My vaccine was 29 hrs ago.

Release 9 — 3 months, dose 1

2021-06-15

Symptoms: I had major allergy symptoms last week after returning from an Alabama trip. I got Covid tested late last week and it was negative.

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDHypersensitivity ✓ ✓ ✓
SDMalaise · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDViral upper respiratory tract infection · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release