5J5-33608-38766
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 217 / MD
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Survey response — day 0, dose 1MedDRA: Cough, Dyspnoea, Sneezing, Throat clearing — Feeling: Fair · Site: Pain · NauseaFree text: Possible flared an existing condition. I sneezed twice, coughed some like I needed to clear my throat a few times and was a little short of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dyspnoea, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Felt some short of breath this morning and pressure in my chest but not too bad now at 5:00pm. It feels like symptoms Ive been dealing with since 2015, so I dont know if its a flare up or from the shot. Ive had muscle and joint pain since 2016.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: My back has felt like it has a mild sunburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Pain — Feeling: FairFree text: I have a daily headache, muscle and joint aches and pain and fatigue for 5 years, not related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
- 2021-06-02
- 2021-07-21
- 2021-10-20
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Possible flared an existing condition. I sneezed twice, coughed some like I needed to clear my throat a few times and was a little short of breath.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Felt some short of breath this morning and pressure in my chest but not too bad now at 5:00pm. It feels like symptoms Ive been dealing with since 2015, so I dont know if its a flare up or from the shot. Ive had muscle and joint pain since 2016.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My back has felt like it has a mild sunburn
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have a daily headache, muscle and joint aches and pain and fatigue for 5 years, not related to the vaccine
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Throat clearing | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release