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5US-16359-21416

3 vaccinations 3 coded responses 39 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
982 / WA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Registered in v-safe
  2. 2021-03-13
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-13
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chills, Fatigue, Myalgia, Night sweats, Pyrexia, Renal pain — Feeling: Good · Fever · Muscle or body aches
    Free text: Previous: Day2 was feverish periods, chill periods, and fatigue with moderate muscle and joint pain. Kidneys also hurt, no pain now. At no point did temperature seem very high, but enough to sweat while sleeping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  9. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-03
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-17
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-24
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-06-12
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Inflammation, Mobility decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Continued shoulder joint inflammation, both shoulders. Prior rotator cuff injury to right shoulder 6 years ago has been aggravated and has made full range of movement difficult.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-09-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-10-25
    Dose 2 — Moderna
  18. 2021-10-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  20. 2021-10-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2021-11-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-11-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-04-27
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Back pain, Brain fog, Hypersomnia, Myalgia, Pain in extremity, Spinal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Muscle aches/pains in back/spine and arms and legs, mental 'fuzziness' and lack of energy. Slept quite a bit more. No fever or chills. Conditions lasted 5 days, lessening over time.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-04-28
    Dose 3 — Pfizer-BioNTech
    Co-administered: Shingles
  31. 2022-04-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2022-05-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  33. 2022-05-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  34. 2022-05-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-05-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-05-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-05-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-05-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-06-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-07-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-10-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Janssen/Johnson & Johnson
22021-10-25Moderna No
32022-04-28Pfizer-BioNTech Shingles

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Previous: Day2 was feverish periods, chill periods, and fatigue with moderate muscle and joint pain. Kidneys also hurt, no pain now. At no point did temperature seem very high, but enough to sweat while sleeping.

Release 9 — 3 months, dose 1

2021-06-12

Symptoms: Continued shoulder joint inflammation, both shoulders. Prior rotator cuff injury to right shoulder 6 years ago has been aggravated and has made full range of movement difficult.

Release 11 — 6 months, dose 2

2022-04-27

Symptoms: Muscle aches/pains in back/spine and arms and legs, mental 'fuzziness' and lack of energy. Slept quite a bit more. No fever or chills. Conditions lasted 5 days, lessening over time.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDAsthenia · · ✓
SDBack pain · · ✓
SDBrain fog · · ✓
SDHypersomnia · · ✓
SDInflammation ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMyalgia · · ✓
SDPain in extremity · · ✓
SDSpinal pain · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release