5DH-21987-06348
5 vaccinations
8 coded responses
56 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 770 / TX
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
-
2021-03-18
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Pain is Level 1 out of a maximum of 10 but I avoided exercising today anyway as a precaution.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at the injection site is minor: 1 out of 10. I felt good today and was confident that I could resume normal activities. For today, that meant riding my bike 75 miles over 5-3/4 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 1MedDRA: Erythema, Injection site erythema, Lymph node pain — Feeling: GoodFree text: On Day 9 after my injection, my arm turned red at the injection site and downward over the deltoid muscle area. Lymph nodes in my armpit became tender. The tender lymph nodes went back to normal after a couple of days. The arm is still red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site discomfort — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tiredness may be from only 5 hours of sleep resulting from discomfort in my arm at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-12-06
Dose 3 — Moderna
- 2021-12-10
- 2021-12-11
- 2021-12-13
- 2021-12-20
- 2021-12-29
- 2022-01-03
- 2022-01-10
-
2022-01-17
Survey response — day 42, dose 3MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree text: I had an extremely runny nose & sneezing on Saturday after exercising outside in cold,windy conditions. I subsequently did two COVID-19 antigen tests at home spaced 36 hours apart. Both were negative. Today, my symptoms have lessened significantly.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-07
-
2022-05-16
Dose 4 — Moderna
- 2022-05-19
- 2022-05-20
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-14
- 2022-06-20
- 2022-06-27
- 2022-08-17
-
2022-10-26
Dose 5 — Moderna
-
2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain, Sleep disorder — Feeling: Fair · Site: PainFree text: Overnight, pain at the injection site kept me from sleeping.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-11-01
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
-
2023-01-25
Survey response — 3 months, dose 5MedDRA: Cough, Nasopharyngitis, Upper-airway cough syndrome — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-10-26 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain is Level 1 out of a maximum of 10 but I avoided exercising today anyway as a precaution.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at the injection site is minor: 1 out of 10. I felt good today and was confident that I could resume normal activities. For today, that meant riding my bike 75 miles over 5-3/4 hours.
Release 6 — day 14, dose 1
Symptoms: On Day 9 after my injection, my arm turned red at the injection site and downward over the deltoid muscle area. Lymph nodes in my armpit became tender. The tender lymph nodes went back to normal after a couple of days. The arm is still red.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Tiredness may be from only 5 hours of sleep resulting from discomfort in my arm at the injection site.
Release 10 — day 42, dose 3
Symptoms: I had an extremely runny nose & sneezing on Saturday after exercising outside in cold,windy conditions. I subsequently did two COVID-19 antigen tests at home spaced 36 hours apart. Both were negative. Today, my symptoms have lessened significantly. cut off by CDC
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Overnight, pain at the injection site kept me from sleeping.
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 | Cough | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release