5TZ-31723-07533
5 vaccinations
8 coded responses
41 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 312 / GA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
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2021-01-07
Dose 1 — Moderna
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: I was at 97% Normal for 48 hrs after shot and then 100%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
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2021-02-03
Dose 2 — Moderna
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Good · Site: Pain · Fever · Muscle or body achesFree text: No. 800mg of Motrin made me 100% comfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Self-medication — Feeling: Good · Chills, Muscle or body achesFree text: I was 75% good first 24hrs post-shot; 90% good second 24hrs; and, 100% after 48hrs. Take 400-600mg of Motrin after shot, and every 12hrs for 48hrs and there are no problems!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
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2021-10-22
Dose 3 — Moderna
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Influenza like illness, Injection site pain, Self-medication — Feeling: GoodFree text: I had my Moderna #3 on Oct 22d. Had some soreness at injection cite for 48 hrs and some flu like aches for 24 hrs. Took 800 mg Motrin, went to bed, was fine the next morning. No side effects. Glad I got #3!!MedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Feeling Great! More confident with my Booster!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
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2021-11-12
Survey response — day 21, dose 3MedDRA: Bronchitis, Lower respiratory tract infection, Oropharyngeal pain, Pyrexia, Self-medication — Feeling: GoodFree text: 72 hrs after my wife (an MD) and I had our 3rd Moderna shot, we each developed significant chest colds with severe sore throats, sinus and chest bronchitis. We both ran fevers and had to take over the counter meds. Now lasted for seven days.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Arthralgia, Dry throat, Nasal disorder, Oropharyngeal pain, Pyrexia, Self-medication, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: On Jan 3-7, 2022 I experienced minor symptoms of COVID-19, Omicron Variant. Sore, dry throat, nasal connection, sneezing, pain in joints, mild-moderate fever, Used Motrin and o.t.c. Flu medicines and rested. On Jan 8, I was fine. No COVID Test.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Dose 4 — Moderna
- 2022-04-18
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
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2022-09-08
Dose 5 — Moderna
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2022-09-19
Survey response — day 7, dose 5MedDRA: Exposure to SARS-CoV-2, Injection site erythema, Malaise — Feeling: GoodFree text: For 5 days after the 5th COVID shot, I had a red 3" circle at the injection site. I experienced some malaise for 48 hrs after shot, but it was not debilitating. Overall very minor consequences to the shot. My spouse tested positive for COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-09
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-09-08 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I was at 97% Normal for 48 hrs after shot and then 100%
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): No. 800mg of Motrin made me 100% comfortable
Systemic reaction (other): I was 75% good first 24hrs post-shot; 90% good second 24hrs; and, 100% after 48hrs. Take 400-600mg of Motrin after shot, and every 12hrs for 48hrs and there are no problems!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had my Moderna #3 on Oct 22d. Had some soreness at injection cite for 48 hrs and some flu like aches for 24 hrs. Took 800 mg Motrin, went to bed, was fine the next morning. No side effects. Glad I got #3!!
Systemic reaction (other): Feeling Great! More confident with my Booster!
Release 10 — day 21, dose 3
Symptoms: 72 hrs after my wife (an MD) and I had our 3rd Moderna shot, we each developed significant chest colds with severe sore throats, sinus and chest bronchitis. We both ran fevers and had to take over the counter meds. Now lasted for seven days.
Release 11 — 3 months, dose 3
Symptoms: On Jan 3-7, 2022 I experienced minor symptoms of COVID-19, Omicron Variant. Sore, dry throat, nasal connection, sneezing, pain in joints, mild-moderate fever, Used Motrin and o.t.c. Flu medicines and rested. On Jan 8, I was fine. No COVID Test.
Release 12 — day 7, dose 5
Systemic reaction (other): For 5 days after the 5th COVID shot, I had a red 3" circle at the injection site. I experienced some malaise for 48 hrs after shot, but it was not debilitating. Overall very minor consequences to the shot. My spouse tested positive for COVID.
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 | Bronchitis | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release