J6J-11664-52760
2 vaccinations
1 coded response
7 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 385 / TN
- Registered
- 2021-09-05
- Relationship
- Adult relative or friend
- Guardian
- Z6E-29091-70552
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-31
Dose 1 — Moderna
-
2021-09-02
Dose 2 — Moderna
-
2021-09-05
Registered in v-safe
-
2021-09-09
Health check-in — day 7, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do their normal daily activitiesAdult check-in
-
2021-09-16
Survey response — day 14, dose 2, dependentMedDRA: Asthenia, Fatigue, Hypoaesthesia, Nausea — Feeling: Fair · Be unable to work or attend schoolFree text: Still have a numb arm that came with the first vaccination, weak and tired feeling, nauseated.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-24
- 2021-09-30
- 2021-10-15
- 2021-12-03
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-31 | Moderna | No |
| 2 | 2021-09-02 | Moderna | No |
Free text
Release 9 — day 14, dose 2, dependent
Symptoms: Still have a numb arm that came with the first vaccination, weak and tired feeling, nauseated.
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 | Asthenia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release