62J-12679-44076
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 850 / AZ
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: just general mild soreness at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: just mild tendersenn at injection site persisting after 48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-18
Dose 2 — Moderna
-
2021-02-18
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: just slight soreness at injection site, nothing that met the other criteria.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-20
- 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
-
2021-10-29
Dose 3 — Moderna
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Injection site pain — Feeling: GoodFree text: the injection site was moderately painful for about 24 hours after I got the dose. I also had a headache that began about six hours later and lasted for about 18 hours. 36 hours after the injection was received, I feel fineMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
-
2021-11-12
Survey response — day 14, dose 3MedDRA: Chills, Fatigue, Headache — Feeling: GoodFree text: Fatigue, chills, headache.. sporadic at night, not daytime.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-30
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-05
- 2022-06-10
- 2022-06-19
- 2022-06-24
-
2022-08-13
Survey response — 3 months, dose 4MedDRA: COVID-19, Oropharyngeal pain, Productive cough — Feeling: GoodFree text: 4 days of a sore throat, phlegmy cough. I had Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): just general mild soreness at the injection site.
Systemic reaction (other): just mild tendersenn at injection site persisting after 48 hours.
Release 4 — day 0, dose 2
Systemic reaction (other): just slight soreness at injection site, nothing that met the other criteria.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): the injection site was moderately painful for about 24 hours after I got the dose. I also had a headache that began about six hours later and lasted for about 18 hours. 36 hours after the injection was received, I feel fine
Release 10 — day 14, dose 3
Symptoms: Fatigue, chills, headache.. sporadic at night, not daytime.
Release 12 — 3 months, dose 4
Symptoms: 4 days of a sore throat, phlegmy cough. I had 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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release