69N-32136-99739
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Feeling great. Did a workout completely fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Nasopharyngitis, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: Just that on Saturday (Day 3 after shot) i did workout and although felt good Sunday and Monday i did experience Cold like symptoms of sneezing, congestion and itchy eyes. I thought it was more hay fever allergies but without taking antihistamines or changing anything it went away by this morning. (extra antihistamines i should say)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-07-07
Survey response — 3 months, dose 1MedDRA: Productive cough, Rhinorrhoea, Sinus disorder — Feeling: GoodFree text: I dont think it was Covid but since now being around many people unmasked i do believe i caught a typical summer cold. Mild congestion in ear, nose, throat, sinuses and mild phlegm for about 5 to 6 days. No coughing, headaches, fever or chiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
-
2021-10-22
Dose 2 — Moderna
- 2021-10-28
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: I traveled on plane and was at College Football game in MidWest. Think i just caught a plain simple Cold.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-23
-
2022-04-22
Dose 3 — Moderna
-
2022-04-22
Survey response — 6 months, dose 2MedDRA: COVID-19, Eye pruritus, Respiratory tract congestion, Sinus congestion, Sneezing, Tinnitus — Feeling: GoodFree text: Very mild case of Covid. Noise, ears, sinuses and chest congestion, itchy eyes and lots of sneezing. Happened over Superbowlwkend Thought it was just cold and allergies. No major throat, fever, chills or taste/smell issues.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-04-28
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-22
- 2022-05-27
- 2022-06-03
- 2022-07-25
- 2022-10-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Moderna | No |
| 3 | 2022-04-22 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling great. Did a workout completely fine
Systemic reaction (other): Just that on Saturday (Day 3 after shot) i did workout and although felt good Sunday and Monday i did experience Cold like symptoms of sneezing, congestion and itchy eyes. I thought it was more hay fever allergies but without taking antihistamines or changing anything it went away by this morning. (extra antihistamines i should say)
Release 9 — 3 months, dose 1
Symptoms: I dont think it was Covid but since now being around many people unmasked i do believe i caught a typical summer cold. Mild congestion in ear, nose, throat, sinuses and mild phlegm for about 5 to 6 days. No coughing, headaches, fever or chi
Release 10 — day 14, dose 2
Symptoms: I traveled on plane and was at College Football game in MidWest. Think i just caught a plain simple Cold.
Release 11 — 6 months, dose 2
Symptoms: Very mild case of Covid. Noise, ears, sinuses and chest congestion, itchy eyes and lots of sneezing. Happened over Superbowlwkend Thought it was just cold and allergies. No major throat, fever, chills or taste/smell issues.
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 | COVID-19 | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release