6D4-11108-09373
5 vaccinations
5 coded responses
48 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: sore throat 6 hours after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: The injection site is still a tiny bit tender to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-07
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Hypersomnia, Myalgia, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Muscle or body achesFree text: If you had asked me yesterday my answers would have been very different. Yesterday I had chills, fever, muscle aches and a slight headache. I took 2 advil and went to bed at 7:45 p.m. and slept 10 hours. I woke up this morning feeling fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 21, dose 2MedDRA: Pain, Pyrexia, Self-medication — Feeling: GoodFree text: Last evening I had another bout of aches and low fever. I took 2 pain pills and went to sleep and felt fine again in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-26
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Nerve compression, Pain — Feeling: FairFree text: I have a pinched nerve in my left hip and leg. Nasty pain at times. It comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-20
-
2021-11-03
Dose 3 — Moderna
- 2022-02-19
-
2022-04-28
Dose 4 — Moderna
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-28
-
2022-10-18
Dose 5 — ModernaCo-administered: Flu
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): sore throat 6 hours after the shot
Systemic reaction (other): The injection site is still a tiny bit tender to the touch.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): If you had asked me yesterday my answers would have been very different. Yesterday I had chills, fever, muscle aches and a slight headache. I took 2 advil and went to bed at 7:45 p.m. and slept 10 hours. I woke up this morning feeling fine.
Release 5 — day 21, dose 2
Symptoms: Last evening I had another bout of aches and low fever. I took 2 pain pills and went to sleep and felt fine again in the morning.
Release 8 — 3 months, dose 2
Symptoms: I have a pinched nerve in my left hip and leg. Nasty pain at times. It comes and goes.
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 | Nerve compression | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release