6T4-29525-49448
6 vaccinations
7 coded responses
57 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 349 / FL
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: 8 hours after shot pain at injection site lasted 24 hours only slight nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Only for 24 hours was there some pain and sore muscles at injection site. Mostly gone 2nd day. All gone on the 3 day. Feel greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-13
- 2021-01-19
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-05
- 2021-08-03
-
2021-08-14
Dose 3 — Moderna
-
2021-08-15
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just some muscle pain at injection site. Mild and OKMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-16
- 2021-08-17
- 2021-08-19
- 2021-08-20
- 2021-08-21
- 2021-08-28
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-11-13
-
2022-01-11
Dose 4 — Moderna
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-02-08
- 2022-02-16
- 2022-02-22
-
2022-04-12
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Self-medication — Feeling: GoodFree text: Do not know if it is related to anything else: Have had loose stool for last week. Take Imodium and it goes away for a day or so.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Dose 5 — Moderna
- 2022-06-09
- 2022-06-13
- 2022-08-03
-
2022-09-09
Dose 6 — Moderna
- 2022-09-11
-
2022-09-18
Survey response — day 7, dose 6MedDRA: Adverse reaction — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: It lasted one day a few days after 6th shotMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
-
2022-09-30
Survey response — day 21, dose 6MedDRA: Hypersensitivity, Nasal pruritus, Pre-existing disease, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a 3 day allergy. Attack with Tunney nose and itchy nose. Mostly gone now. I used a few boxes of tissues, Mostly gone now. I DO NOT THINK IT HAS ANYTHING TO DO WITH COVID. Retired so did not miss work or school.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — day 28, dose 6MedDRA: Arthralgia, Fall — Feeling: GoodFree text: Tripped and fell. Knee has hurt for a week. I do not want honk it is related to Covid-19MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-14 | Moderna | No |
| 4 | 2022-01-11 | Moderna | No |
| 5 | 2022-05-02 | Moderna | No |
| 6 | 2022-09-09 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): 8 hours after shot pain at injection site lasted 24 hours only slight now
Systemic reaction (other): Only for 24 hours was there some pain and sore muscles at injection site. Mostly gone 2nd day. All gone on the 3 day. Feel great
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Just some muscle pain at injection site. Mild and OK
Release 11 — 3 months, dose 4
Symptoms: Do not know if it is related to anything else: Have had loose stool for last week. Take Imodium and it goes away for a day or so.
Release 12 — day 7, dose 6
Systemic reaction (other): It lasted one day a few days after 6th shot
Release 12 — day 21, dose 6
Symptoms: Had a 3 day allergy. Attack with Tunney nose and itchy nose. Mostly gone now. I used a few boxes of tissues, Mostly gone now. I DO NOT THINK IT HAS ANYTHING TO DO WITH COVID. Retired so did not miss work or school.
Release 12 — day 28, dose 6
Symptoms: Tripped and fell. Knee has hurt for a week. I do not want honk it is related to Covid-19
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Nasal pruritus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release