5KJ-92982-25630
4 vaccinations
8 coded responses
35 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 977 / OR
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-14
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Chills, Diarrhoea — Feeling: GoodFree text: I had diarrhea & chills on Saturday. Gone by Sunday. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — day 21, dose 1MedDRA: Diarrhoea, Headache — Feeling: Fair · Be unable to workFree text: Diarrhea, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-05
Dose 2 — Moderna
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Headache, Muscle or body aches, DiarrheaFree text: Itchiness on my back but no sign of rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Dizzy or vertigo feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-13
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Itchy feeling on my back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 35, dose 2MedDRA: Arthralgia, Chills, Headache — Feeling: PoorFree text: Had my 2nd shingrix shot yesterday. Joint ache, headache, chills. Similar but not covid related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-29
Dose 3 — Moderna
- 2022-02-05
-
2022-04-08
Dose 4 — Moderna
-
2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Immediate post-injection reaction, Pain — Feeling: Good · Joint pains, Muscle or body achesFree text: In the 24 hour period immediately following the shot, my body aches & joint pain were much more pronounced. Today, back to mild.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-12
-
2022-04-13
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: Feeling light headed. Monitoring. Checked bp & in appropriate range 119/73.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: I had diarrhea & chills on Saturday. Gone by Sunday. No fever.
Release 2 — day 21, dose 1
Symptoms: Diarrhea, headache
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Itchiness on my back but no sign of rash.
Systemic reaction (other): Dizzy or vertigo feeling
Release 4 — day 14, dose 2
Symptoms: Itchy feeling on my back.
Release 5 — day 35, dose 2
Symptoms: Had my 2nd shingrix shot yesterday. Joint ache, headache, chills. Similar but not covid related.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): In the 24 hour period immediately following the shot, my body aches & joint pain were much more pronounced. Today, back to mild.
Systemic reaction (other): Feeling light headed. Monitoring. Checked bp & in appropriate range 119/73.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release