JKJ-99695-45360
5 vaccinations
10 coded responses
66 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Sleep disorder — Feeling: GoodFree text: Kept waking up last night, but it was better than the 0 sleep d/t insomnia the night beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-05-20
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Throat irritation — Feeling: GoodFree text: Had a mild scratchy throat and runny nose for a 2 or so days when the rest of my family got bad colds (they had fevers, coughing, sore throat, runny nose).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: GoodFree text: I had a super mild cold-like illness, a little sniffles, sore throat, cough sneeze. My kids had the same thing worse (fever 1-2 days, vomit 1x, semi-productive cough 2.5 wks, lethargy, runny nose, etc. One kid was testednegative for covid, rsv, flMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-30
Dose 3 — Moderna
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2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: GoodFree text: Insomnia last night and night beforeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Mild Axillary pain. I've had it off and on since the first day, but keep forgetting to mention it.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: GoodFree text: Mild axillary tendernessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
-
2021-12-14
Survey response — day 14, dose 3MedDRA: Asthenia, Nasopharyngitis, Nausea, Pain, Pregnancy, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Mild cold with runny nose, mild body aches, decreased energy. I've also had a little nausea, but that's probably because I'm pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
-
2022-03-01
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Pregnancy, Secretion discharge, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I'm pregnant. I also had a cold in December and have had a little heightened mucus production/post nasal drip ever since, long after all other symptoms disappeared, which is annoyingMedDRA releases: 2024-11 · check-in free text available
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2022-03-01
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-31
-
2022-07-07
Dose 4 — Moderna
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-21
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-10-06
-
2022-11-15
Dose 5 — Pfizer-BioNTech
-
2022-11-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-18
Survey response — days 1–6 daily, dose 5MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Axillary pain- moderate yesterday but I missed this "other symptoms" section, mild today.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2022-12-20
- 2022-12-27
- 2023-02-14
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-07-07 | Moderna | No |
| 5 | 2022-11-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Systemic reaction (other): Kept waking up last night, but it was better than the 0 sleep d/t insomnia the night before
Release 8 — 3 months, dose 2
Symptoms: Had a mild scratchy throat and runny nose for a 2 or so days when the rest of my family got bad colds (they had fevers, coughing, sore throat, runny nose).
Release 9 — 6 months, dose 2
Symptoms: I had a super mild cold-like illness, a little sniffles, sore throat, cough sneeze. My kids had the same thing worse (fever 1-2 days, vomit 1x, semi-productive cough 2.5 wks, lethargy, runny nose, etc. One kid was testednegative for covid, rsv, fl
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Insomnia last night and night before
Systemic reaction (other): Mild Axillary pain. I've had it off and on since the first day, but keep forgetting to mention it.
Systemic reaction (other): Mild axillary tenderness
Release 10 — day 14, dose 3
Symptoms: Mild cold with runny nose, mild body aches, decreased energy. I've also had a little nausea, but that's probably because I'm pregnant.
Release 11 — 3 months, dose 3
Symptoms: I'm pregnant. I also had a cold in December and have had a little heightened mucus production/post nasal drip ever since, long after all other symptoms disappeared, which is annoying
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Axillary pain- moderate yesterday but I missed this "other symptoms" section, mild today.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release