5PS-14757-32763
1 vaccination
4 coded responses
8 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 330 / FL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Respiratory tract congestion, Somnolence — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Slight head conjestion. But as mentioned above very tired and sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Head discomfort — Feeling: Good · Fatigue or tirednessFree text: Aplologies for missing obe or two previous surveys my phone malfunctiobed and I had to upgrade software. It has been a good post shot days only exception wss the day after when I did complete a surcey indicating pain in shoulder arra where I received the shot and I had a stuffy head. That being said each day after I've felt better with no issues to report.eMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · ChillsFree text: Slight head congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 1MedDRA: Dry throat, Oropharyngeal pain — Feeling: Fair · Muscle or body achesFree text: Still have a dry - sore theoat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-24
- 2021-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slight head conjestion. But as mentioned above very tired and sleepy.
Systemic reaction (other): Aplologies for missing obe or two previous surveys my phone malfunctiobed and I had to upgrade software. It has been a good post shot days only exception wss the day after when I did complete a surcey indicating pain in shoulder arra where I received the shot and I had a stuffy head. That being said each day after I've felt better with no issues to report.e
Systemic reaction (other): Slight head congestion.
Release 4 — day 7, dose 1
Systemic reaction (other): Still have a dry - sore theoat.
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 | Dry throat | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release