5JP-51724-93060
4 vaccinations
2 coded responses
56 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 946 / CA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
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2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
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2021-03-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
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2021-11-17
Dose 3 — Moderna
- 2021-11-17
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
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2022-05-18
Survey response — 6 months, dose 3MedDRA: Bursitis, Office visit, Self-medication — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I have ZERO reason to think it is related to my vaccine status, but I developed prepatellar bursitis, requiring visits to doctors' offices, some antibiotics, regular use of an ace bandage and ibuprofen, and changes to my work and personal activities.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
-
2022-05-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-17
Survey response — 12 months, dose 3MedDRA: COVID-19, Hospitalisation, Road traffic accident, SARS-CoV-2 test false positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: I got a mild case of COVID in early June. I was in a bicycle collision in mid-July, & the hospital stay plus recovery at home totalled 7 weeks. I had a false positive COVID test on admission to the hospital, 5+ weeks after those symptoms ended.MedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-18
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2022-12-07
Dose 4 — ModernaCo-administered: Flu
- 2022-12-07
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2022-12-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-12
-
2022-12-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-12-14
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-03-08
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-12-07 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 11 — 6 months, dose 3
Symptoms: I have ZERO reason to think it is related to my vaccine status, but I developed prepatellar bursitis, requiring visits to doctors' offices, some antibiotics, regular use of an ace bandage and ibuprofen, and changes to my work and personal activities. cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: I got a mild case of COVID in early June. I was in a bicycle collision in mid-July, & the hospital stay plus recovery at home totalled 7 weeks. I had a false positive COVID test on admission to the hospital, 5+ weeks after those symptoms ended.
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 | Bursitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Road traffic accident | · | · | ✓ |
| SD | SARS-CoV-2 test false positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release