6F3-14848-71681
5 vaccinations
7 coded responses
57 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 077 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Night sweats, like breaking a fever...better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Good · Site: PainFree text: Sweats overnight...much better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-14
- 2021-07-01
- 2021-10-02
-
2021-11-03
Dose 3 — Moderna
- 2021-11-04
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body achesFree text: This was all Thursday night into Friday am, then fineMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-15
- 2022-02-04
-
2022-04-19
Dose 4 — Moderna
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Somnolence — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Slept 6 hrs in middle of dayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
-
2022-10-12
Dose 5 — Moderna
-
2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-16
- 2022-10-17
- 2022-10-18
-
2022-11-02
Survey response — day 21, dose 5MedDRA: Throat irritation — Feeling: GoodFree text: scratchy throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Survey response — day 28, dose 5MedDRA: Chest discomfort, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heavy chest cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-10
-
2022-11-16
Survey response — day 35, dose 5MedDRA: Dysphonia, Pulmonary congestion, SARS-CoV-2 test negative, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Developed a little tickle in my throat which eventually turned into a raspiness and went down into my lungs and lasted about 4 plusweeks Chest X-ray and cat scan done.. lungs are clear neg for CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-12 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Night sweats, like breaking a fever...better today
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sweats overnight...much better today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): This was all Thursday night into Friday am, then fine
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Slept 6 hrs in middle of day
Release 12 — day 21, dose 5
Symptoms: scratchy throat.
Release 12 — day 28, dose 5
Symptoms: Heavy chest cold symptoms
Release 12 — day 35, dose 5
Symptoms: Developed a little tickle in my throat which eventually turned into a raspiness and went down into my lungs and lasted about 4 plusweeks Chest X-ray and cat scan done.. lungs are clear neg for Covid
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 | Chest discomfort | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release