6RJ-22258-35849
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Aches & tiredness VERY MILD...no medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
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2021-03-22
Survey response — day 21, dose 2MedDRA: Chills, Diarrhoea, Gastroenteritis viral, Headache, Malaise, Nausea, Retching — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: 24-36 hour stomach/intestinal virus. Chills, SLIGHT headache, malaise, nausea, dry heaves, diarrhea. My wife had same. But worse, with possible fever. Neighbor family members who were at our house for small birthday celebration also contrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-03-30
Survey response — day 35, dose 2MedDRA: Eye pruritus, Lacrimation increased, Nasopharyngitis, Pre-existing disease, Productive cough, Self-medication, Somnolence, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: Post-nasal drip, productive cough on arising, itchy running eyes. CORICIDEN relieves. Most probably allergies or cold, but meds cause drowsiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-26
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Eye irritation, Eye pruritus, Lacrimation increased, Malaise, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Rhinitis — Feeling: GoodFree text: Cold-like or allergenic symptoms about 7-10 days ago ~ 3-4 days duration. Rhinitis. Itchy, burning, watery eyes, slight sore throat. mild malaise. No fever or aches.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-31
Dose 3 — Moderna
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2022-02-24
Survey response — 12 months, dose 2MedDRA: Influenza like illness, Nasopharyngitis — Feeling: GoodFree text: Mild cold orFlu-like. 2-3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Aches & tiredness VERY MILD...no meds
Release 6 — day 21, dose 2
Symptoms: 24-36 hour stomach/intestinal virus. Chills, SLIGHT headache, malaise, nausea, dry heaves, diarrhea. My wife had same. But worse, with possible fever. Neighbor family members who were at our house for small birthday celebration also contr
Release 6 — day 35, dose 2
Symptoms: Post-nasal drip, productive cough on arising, itchy running eyes. CORICIDEN relieves. Most probably allergies or cold, but meds cause drowsiness.
Release 9 — 6 months, dose 2
Symptoms: Cold-like or allergenic symptoms about 7-10 days ago ~ 3-4 days duration. Rhinitis. Itchy, burning, watery eyes, slight sore throat. mild malaise. No fever or aches.
Release 11 — 12 months, dose 2
Symptoms: Mild cold orFlu-like. 2-3 days.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Eye irritation | ✓ | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Retching | ✓ | ✓ | ✓ |
| SD | Rhinitis | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release