6P2-19476-61326
5 vaccinations
8 coded responses
56 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 196 / PA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
- 2021-04-19
- 2021-04-25
- 2021-05-02
-
2021-05-07
Dose 2 — Moderna
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: All above I had on 5/8 on 5/9 just the arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Good · Site: Pain, SwellingFree text: Other than injection site, everything is good, Very Happy to have both Moderna shots, I can breathe a side of relief, looking 4ward to the Governor of Pennsylvania lifting Mandatory rule on 5/31MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain, RednessFree text: Injection site pain has STOPPED progressing toward my heart.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, SwellingFree text: Whats required for traveling out of the USAMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: It is nice that the CDC has this Site to follow up on People who are vaccinated, I hold the CDC in high regards to stopping this Virus and if dat b a follow up dose each year I support that idea 100%.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-13
- 2021-06-18
- 2021-08-06
- 2021-11-05
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
-
2021-12-17
Survey response — day 35, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Seasonal chest congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — day 42, dose 3MedDRA: Respiratory tract congestion — Feeling: FairFree text: Chest congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
-
2022-04-29
Dose 4 — Moderna
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
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2022-09-28
Dose 5 — Pfizer-BioNTech
- 2022-09-28
-
2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
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2022-10-26
Survey response — day 28, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: Phantom pain at injection site on R Arm, came on suddenly on 10/26/22MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): All above I had on 5/8 on 5/9 just the arm pain
Systemic reaction (other): Other than injection site, everything is good, Very Happy to have both Moderna shots, I can breathe a side of relief, looking 4ward to the Governor of Pennsylvania lifting Mandatory rule on 5/31
Systemic reaction (other): Injection site pain has STOPPED progressing toward my heart.
Systemic reaction (other): Whats required for traveling out of the USA
Systemic reaction (other): It is nice that the CDC has this Site to follow up on People who are vaccinated, I hold the CDC in high regards to stopping this Virus and if dat b a follow up dose each year I support that idea 100%.
Release 10 — day 35, dose 3
Symptoms: Seasonal chest congestion
Release 10 — day 42, dose 3
Symptoms: Chest congestion
Release 12 — day 28, dose 5
Symptoms: Phantom pain at injection site on R Arm, came on suddenly on 10/26/22
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 | Injection site pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release