66R-32399-27596
5 vaccinations
6 coded responses
54 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 973 / OR
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: Last Tuesday I was extremely fatigued and my arm hurt at injection site. This happened only this one time and has not happened again. Not sure if it means anything.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: persistent multiple Joint pain since Tuesday: elbows, knees, hips and some fingers. now relatively mild but definitely noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Good · Site: Pain, ItchingFree text: generally pruritic. took antihistamine 6 amMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-19
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Supraclavicular lymphadenopathy. Getting a CT scan next week.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-29
-
2022-08-09
Dose 4 — ModernaCo-administered: Shingles
- 2022-08-09
-
2022-08-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-08-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-13
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia — Feeling: Good · Site: PainFree text: joint pain peaked yesterday with very painful radiocarpal joint. Pain in my wrist is entirely gone today.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-14
- 2022-08-15
- 2022-08-17
- 2022-09-06
- 2022-09-13
- 2022-09-20
- 2022-11-08
-
2022-12-18
Dose 5 — Moderna
-
2023-02-07
Survey response — 6 months, dose 4MedDRA: Chills, Malaise, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-19
- 2023-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-08-09 | Moderna | Shingles |
| 5 | 2022-12-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Last Tuesday I was extremely fatigued and my arm hurt at injection site. This happened only this one time and has not happened again. Not sure if it means anything.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): persistent multiple Joint pain since Tuesday: elbows, knees, hips and some fingers. now relatively mild but definitely noticeable.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): generally pruritic. took antihistamine 6 am
Release 11 — 6 months, dose 3
Symptoms: Supraclavicular lymphadenopathy. Getting a CT scan next week.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): joint pain peaked yesterday with very painful radiocarpal joint. Pain in my wrist is entirely gone today.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release