5QM-90521-51797
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Left rear neck muscle has been making it's existence known all day. But probably just from the way I slept last night,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I have always had some of these symptoms because of my crohn's and cmt. But no change either way since getting the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-04-03
Survey response — day 14, dose 1MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: One day this week dealt with a massive headache and hurled food I haven't seen since last year. But believe it was my normal season change allergy thing. It's a late fall/early spring thing. Doubt it's shot related. But mentioned it just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-17
- 2021-10-16
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got my booster(moderna) a week after the last check-in 6 months ago. But by then the text wouldn't work. It took me down until the next morning. Then it was like nothing ever happened. Been fine since. I'm planning to get the 2nd booster soon.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Left rear neck muscle has been making it's existence known all day. But probably just from the way I slept last night,
Systemic reaction (other): I have always had some of these symptoms because of my crohn's and cmt. But no change either way since getting the shot.
Release 6 — day 14, dose 1
Symptoms: One day this week dealt with a massive headache and hurled food I haven't seen since last year. But believe it was my normal season change allergy thing. It's a late fall/early spring thing. Doubt it's shot related. But mentioned it just in case.
Release 11 — 12 months, dose 2
Symptoms: I got my booster(moderna) a week after the last check-in 6 months ago. But by then the text wouldn't work. It took me down until the next morning. Then it was like nothing ever happened. Been fine since. I'm planning to get the 2nd booster soon.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release