6AU-19251-89638
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 079 / NJ
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Survey response — day 28, dose 2MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I didnt experience a lot of pain in my arm as I had with my first shot . I did have a slight headache and felt very tired of on off for a good 5 to 7 days afterwards I also had an earache and tolerable sore throat 2 days after the shot I feel welMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-23
-
2021-05-11
Survey response — 3 months, dose 2MedDRA: Immunisation reaction, Office visit, Oral mucosal eruption, Stomatitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had broken out with sores inside my mouth for 2 days a break out of rash on right side of my meal for a week and developed COVID toe on right foot for two weeks this was going on for a good three weeks after my second vaccination · Healthcare visit (other): Doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 28, dose 2
Symptoms: I didnt experience a lot of pain in my arm as I had with my first shot . I did have a slight headache and felt very tired of on off for a good 5 to 7 days afterwards I also had an earache and tolerable sore throat 2 days after the shot I feel wel
Release 8 — 3 months, dose 2
Symptoms: I had broken out with sores inside my mouth for 2 days a break out of rash on right side of my meal for a week and developed COVID toe on right foot for two weeks this was going on for a good three weeks after my second vaccination
Healthcare visit (other): Doctor visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Oral mucosal eruption | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release