5CV-24403-76454
4 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 210 / MD
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: Cold sore bottom inner lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 28, single doseMedDRA: Arthralgia, Pain — Feeling: FairFree text: Aches and pains especially around my joints. Advil helped ease the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-10
-
2021-10-25
Dose 2 — Moderna
-
2021-10-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 2MedDRA: Cough, Exposure to SARS-CoV-2, Eye pruritus, Lethargy — Feeling: GoodFree text: Coughing, itchy eyes, lethargic, lasted three days. I did not get tested. We had 4 fully vaccinated family members come down with COVID-19. This was our daughter and her entire family.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Dose 3 — Moderna
-
2022-04-25
Survey response — 6 months, dose 2MedDRA: Arthralgia, Chills — Feeling: GoodFree text: Received my second Mederna booster on 4/8/2022. On 4/8-4/10 experienced chills and joint painMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Survey response — day 21, dose 3MedDRA: Chills, Pain — Feeling: GoodFree text: Chills and aches one day after the 3 doseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-09-19
Dose 4 — Moderna
-
2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-04-08 | Moderna | No |
| 4 | 2022-09-19 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Cold sore bottom inner lip
Release 7 — day 28, single dose
Symptoms: Aches and pains especially around my joints. Advil helped ease the pain.
Release 10 — day 14, dose 2
Symptoms: Joint pain
Release 11 — 3 months, dose 2
Symptoms: Coughing, itchy eyes, lethargic, lasted three days. I did not get tested. We had 4 fully vaccinated family members come down with COVID-19. This was our daughter and her entire family.
Release 11 — 6 months, dose 2
Symptoms: Received my second Mederna booster on 4/8/2022. On 4/8-4/10 experienced chills and joint pain
Release 11 — day 21, dose 3
Symptoms: Chills and aches one day after the 3 dose
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release