6E4-26001-88269
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 913 / CA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Myalgia — Feeling: Good · Site: Pain · HeadacheFree text: Yesterday I forgot to list a shoulder joint and a forearm muscle ache! Todays headache was gone after breakfast. And have felt very good the rest of today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
-
2021-09-14
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Slight dizziness/ light headed feelingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Pain — Feeling: GoodFree text: Yes, I received the booster shot on 10/22 but didn't start reporting on symptoms until 10/25. On 10/23 I experienced the same effects that I experienced with the 2nd Moderna shot; fatigue, body aches and chills the morning of the 23rd for 10 hrsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I forgot to list a shoulder joint and a forearm muscle ache! Todays headache was gone after breakfast. And have felt very good the rest of today.
Release 9 — 6 months, dose 2
Symptoms: Slight dizziness/ light headed feeling
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yes, I received the booster shot on 10/22 but didn't start reporting on symptoms until 10/25. On 10/23 I experienced the same effects that I experienced with the 2nd Moderna shot; fatigue, body aches and chills the morning of the 23rd for 10 hrs
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 | Dizziness | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release