5GM-71400-76356
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-17
Dose 2 — Moderna
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Headache and body aches/chills were extreme all day the day after the shot. Chills are gone today but headache and body aches are still aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthropod bite, Eczema, Injection site erythema, Injection site pruritus, Injection site rash — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: It should be noted that one week after my first Moderna shot I got a red rash that itched and lasted for a week. Then, two weeks after shot one, I got bug bite looking eczema bumps on my hands and feet including the bottom of my feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-24
Survey response — day 7, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: GoodFree text: Some acid reflux feeling for the last couple daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-20
- 2021-10-16
-
2021-12-04
Dose 3 — Moderna
- 2022-04-18
-
2022-10-11
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-27
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-23
- 2023-01-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-10-11 | Pfizer-BioNTech | Flu |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Headache and body aches/chills were extreme all day the day after the shot. Chills are gone today but headache and body aches are still around
Systemic reaction (other): It should be noted that one week after my first Moderna shot I got a red rash that itched and lasted for a week. Then, two weeks after shot one, I got bug bite looking eczema bumps on my hands and feet including the bottom of my feet.
Release 7 — day 7, dose 2
Systemic reaction (other): Some acid reflux feeling for the last couple days
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 |
|---|---|---|---|---|
| SRO | Arthropod bite | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release