5GQ-21469-11830
4 vaccinations
2 coded responses
31 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 037 / NH
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Bed rest, Injection site pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have, in effect flu-like symptoms. If I was working (Im retired) I would have stayed home. Ive been in bed resting most of the day and now at 3:45pm am beginning to feel better. The injection site is more painful with this second shot. Ive been icing my arm most of the day and that too is much improved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Site: Pain · DiarrheaFree text: In hindsight on Fri and Sat after the vaccine on Thursday I had mild diarrhea. Early Sunday morning it worsened so that I was up several times between 3:00 and 7:00am. By 11:00am it subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-06
Dose 3 — Moderna
- 2022-02-11
-
2022-04-14
Dose 4 — Moderna
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have, in effect flu-like symptoms. If I was working (Im retired) I would have stayed home. Ive been in bed resting most of the day and now at 3:45pm am beginning to feel better. The injection site is more painful with this second shot. Ive been icing my arm most of the day and that too is much improved.
Systemic reaction (other): In hindsight on Fri and Sat after the vaccine on Thursday I had mild diarrhea. Early Sunday morning it worsened so that I was up several times between 3:00 and 7:00am. By 11:00am it subsided.
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 | Bed rest | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release