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
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-16
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesFree text: Flushed face that feels like fever but is notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 1MedDRA: Hypersensitivity, SARS-CoV-2 test negative — Feeling: GoodFree 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
- 2021-09-14
-
2021-10-22
Dose 2 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-02-24
Dose 3 — Moderna
- 2022-04-22
- 2022-08-25
-
2022-09-11
Dose 4 — Moderna
-
2023-02-24
Survey response — 12 months, dose 3MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-12
Survey response — 6 months, dose 4MedDRA: Viral upper respiratory tract infection — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | No |
| 3 | 2022-02-24 | Moderna | No |
| 4 | 2022-09-11 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Flushed face that feels like fever but is not
Release 5 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release