6VM-66417-23076
3 vaccinations
4 coded responses
36 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 211 / MD
- 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 — Janssen/Johnson & Johnson
-
2021-03-04
Survey response — day 0, dose 1MedDRA: Chills — Feeling: Poor · Chills, Muscle or body achesFree text: At the time this was sent, I was fine. Symptoms started about 7PM and the chills were intense for about 10 minutes and have subsided some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Shot was at 10:30 yesterday. Started feeling bad around 7PM. Chills and achiness were first, then fever. Took Tylenol around midnight. Fever and chills subsided during the night. Achy and fatigued today but was able to work. Would not have been able to work with chills - I shook a lot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: PainFree text: While not diarrhea, my bowel movements have been loose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-09
- 2021-04-15
- 2021-06-03
- 2021-09-03
-
2021-10-29
Dose 2 — Moderna
-
2021-10-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, DiarrheaAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2022-01-28
-
2022-04-21
Dose 3 — Pfizer-BioNTech
- 2022-05-01
- 2022-05-07
- 2022-05-12
- 2022-05-19
- 2022-05-28
- 2022-06-02
-
2022-07-23
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Respiratory tract congestion — Feeling: GoodFree text: COVID- drop cough, congestion, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
| 3 | 2022-04-21 | Pfizer-BioNTech | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): At the time this was sent, I was fine. Symptoms started about 7PM and the chills were intense for about 10 minutes and have subsided some.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Shot was at 10:30 yesterday. Started feeling bad around 7PM. Chills and achiness were first, then fever. Took Tylenol around midnight. Fever and chills subsided during the night. Achy and fatigued today but was able to work. Would not have been able to work with chills - I shook a lot.
Systemic reaction (other): While not diarrhea, my bowel movements have been loose.
Release 12 — 3 months, dose 3
Symptoms: COVID- drop cough, congestion, fatigue.
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release