5P8-16687-72708
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 953 / CA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: The pain is extremely mild, I literally have to touch it or bump it on something to even notice it. Not unexpected with any vaccinations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle pain at injection site only. Slightly more intense then the first injection compared to the second injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Mild pain has almost completely subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
-
2022-02-18
Survey response — 12 months, dose 2MedDRA: COVID-19, Malaise, Respiratory symptom, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had Covid 1/20/22 (+Antigen home test), ill with URI Sx's. Symptom free within a few days, tested negative on 1/26/22 as a follow up in workplace (EMS).MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The pain is extremely mild, I literally have to touch it or bump it on something to even notice it. Not unexpected with any vaccinations.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pain at injection site only. Slightly more intense then the first injection compared to the second injection.
Systemic reaction (other): Mild pain has almost completely subsided
Release 11 — 12 months, dose 2
Symptoms: Had Covid 1/20/22 (+Antigen home test), ill with URI Sx's. Symptom free within a few days, tested negative on 1/26/22 as a follow up in workplace (EMS).
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 | COVID-19 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release