6E8-27070-44609
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 906 / CA
- Registered
- 2021-12-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
-
2021-12-08
Dose 2 — ModernaCo-administered: Flu
-
2021-12-10
Registered in v-safe
- 2021-12-10
-
2021-12-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Itching · Joint painsFree text: My joint pain comes from and old injury cause by shifting my weight from my lift leg to my good leg which to came from a car accident while i the Army an has been and on going ware and tear pain to my left knee over the yearsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Overweight — Feeling: Good · Site: ItchingFree text: My normal knee pains from overweightMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Only the pain of my knee to which I've always been experiencingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2022-01-05
- 2022-01-13
- 2022-01-19
- 2022-03-09
-
2022-04-21
Dose 3 — Moderna
- 2022-05-06
- 2022-05-13
-
2022-05-19
Survey response — day 28, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: I believe I've gotten a summer cold it seems no fever just a little congestion a slice cough its been two days now it seems to be breaking up nowMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-09-10
Dose 4 — ModernaCo-administered: Flu
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-19
- 2022-09-25
- 2022-10-01
- 2022-10-09
- 2022-10-16
- 2022-10-22
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Janssen/Johnson & Johnson | No |
| 2 | 2021-12-08 | Moderna | Flu |
| 3 | 2022-04-21 | Moderna | No |
| 4 | 2022-09-10 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): My joint pain comes from and old injury cause by shifting my weight from my lift leg to my good leg which to came from a car accident while i the Army an has been and on going ware and tear pain to my left knee over the years
Systemic reaction (other): My normal knee pains from overweight
Release 10 — day 7, dose 2
Systemic reaction (other): Only the pain of my knee to which I've always been experiencing
Release 11 — day 28, dose 3
Symptoms: I believe I've gotten a summer cold it seems no fever just a little congestion a slice cough its been two days now it seems to be breaking up now
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Overweight | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release