68A-31740-91648
5 vaccinations
15 coded responses
48 check-ins
15 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: GoodFree text: I just. site sensitive but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site still a little sore..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: Injection site is healing (less sore)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
-
2021-03-10
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore arm muscleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have been napping several times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Rash on chest & stomach areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on stomach continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-09
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-11-01
Dose 3 — Moderna
- 2022-03-10
-
2022-04-16
Dose 4 — Moderna
- 2022-05-01
- 2022-05-08
- 2022-05-14
-
2022-05-21
Survey response — day 35, dose 4MedDRA: Unevaluable event — Feeling: PoorFree text: I think I am getting a cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
- 2022-07-16
- 2022-10-15
-
2022-10-20
Dose 5 — ModernaCo-administered: Flu
- 2022-10-20
-
2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Injection site discomfort — Feeling: GoodFree text: Mild discomfort at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Injection site discomfort — Feeling: GoodFree text: Discomfort is reducing st injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Discomfort — Feeling: GoodFree text: Mild discomfort has diminished.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-25
- 2022-10-26
-
2022-10-27
Survey response — day 7, dose 5MedDRA: Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I think I have a cold. Resting & Claritin DMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — day 14, dose 5MedDRA: Loss of personal independence in daily activities, Nasopharyngitis, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still working on getting through my cold. No fever but am using cough suppressant and Claritin D. Resting a lot. Starting to get back to exercise routine.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-16 | Moderna | No |
| 5 | 2022-10-20 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I just. site sensitive but not painful
Systemic reaction (other): Injection site still a little sore..
Systemic reaction (other): Injection site is healing (less sore)
Release 5 — day 0, dose 2
Systemic reaction (other): Sore arm muscle
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have been napping several times.
Systemic reaction (other): Rash on chest & stomach area
Systemic reaction (other): Rash on stomach continues
Systemic reaction (other): Rash improving
Release 5 — day 7, dose 2
Systemic reaction (other): Rash almost gone
Release 11 — day 35, dose 4
Symptoms: I think I am getting a cold.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Mild discomfort at injection site
Systemic reaction (other): Discomfort is reducing st injection site
Systemic reaction (other): Mild discomfort has diminished.
Release 12 — day 7, dose 5
Systemic reaction (other): I think I have a cold. Resting & Claritin D
Release 12 — day 14, dose 5
Symptoms: Still working on getting through my cold. No fever but am using cough suppressant and Claritin D. Resting a lot. Starting to get back to exercise routine.
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 | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release