5HK-12903-62800
3 vaccinations
7 coded responses
28 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 481 / MI
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Registered in v-safe
-
2021-05-03
Dose 1 — Janssen/Johnson & Johnson
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-08
- 2021-06-14
- 2021-08-02
- 2021-11-01
-
2021-12-27
Dose 2 — Moderna
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2021-12-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-02
- 2022-01-05
- 2022-01-10
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2022-01-17
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think a family member caught the Omicron variant. My father has had symptoms of vomiting and nausea which he gets when he gets covid. I have felt a little sore-throated and stuffy today.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
-
2022-01-31
Survey response — day 35, dose 2MedDRA: Dry throat, Gastrointestinal sounds abnormal, Respiratory tract congestion — Feeling: FairFree text: Stomach rumbling, dry throat, little congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-07
-
2022-03-28
Survey response — 3 months, dose 2MedDRA: Anosmia, Injection site pain — Feeling: GoodFree text: I briefly lost my sense of smell about one week ago for several hours, and I also experienced soreness in the spot where I received my injection. However, I tested negative and the symptoms cleared up in a day.MedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Survey response — 6 months, dose 2MedDRA: Brain fog, Feeling cold, Malaise — Feeling: GoodFree text: On several days in the last several months, I have felt slightly coldish or ill. I sometimes feel a little foggy. I'm not sure if I'm experiencing symptoms or the isolation of quarantine.MedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Dose 3 — Moderna
- 2022-10-24
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2022-10-31
Survey response — day 35, dose 3MedDRA: Fatigue, Weight decreased — Feeling: PoorFree text: Weight loss and exhaustion.MedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Survey response — day 42, dose 3MedDRA: Cough, Dyspepsia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Some coughing and indigestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-26
-
2023-03-25
Survey response — 6 months, dose 3MedDRA: Chills, Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-27 | Moderna | No |
| 3 | 2022-09-24 | Moderna | No |
Free text
Release 10 — day 21, dose 2
Symptoms: I think a family member caught the Omicron variant. My father has had symptoms of vomiting and nausea which he gets when he gets covid. I have felt a little sore-throated and stuffy today.
Release 11 — day 35, dose 2
Symptoms: Stomach rumbling, dry throat, little congestion.
Release 11 — 3 months, dose 2
Symptoms: I briefly lost my sense of smell about one week ago for several hours, and I also experienced soreness in the spot where I received my injection. However, I tested negative and the symptoms cleared up in a day.
Release 12 — 6 months, dose 2
Symptoms: On several days in the last several months, I have felt slightly coldish or ill. I sometimes feel a little foggy. I'm not sure if I'm experiencing symptoms or the isolation of quarantine.
Release 12 — day 35, dose 3
Symptoms: Weight loss and exhaustion.
Release 12 — day 42, dose 3
Symptoms: Some coughing and indigestion.
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 | Anosmia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Gastrointestinal sounds abnormal | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release