JMD-27253-31553
4 vaccinations
4 coded responses
43 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 450 / OH
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EAG-20387-90493
Child or adolescent in my care · Male · 2021-11-11
PFK-23294-18127
Child or adolescent in my care · Female · 2022-10-13
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-31
- 2021-02-04
- 2021-02-06
- 2021-02-12
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
- 2021-02-28
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Lymph node pain, Myalgia — Feeling: Good · Muscle or body achesFree text: I missed the opportunity to report on Sat: 2/27. Had fairly intense body-wide myalgias. Chills in the early am hours on 2/27. On Sunday-Monday (2/28-3/1) had tender lymph node under my right axilla.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-07
- 2021-03-12
- 2021-03-20
- 2021-03-29
- 2021-04-02
- 2021-04-11
- 2021-05-28
- 2021-08-27
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-05-06
Survey response — 6 months, dose 3MedDRA: Cough, Respiratory symptom, Respiratory tract congestion — Feeling: FairFree text: URI symptoms: cough/congestion, very mild No feverMedDRA releases: 2024-11 · check-in free text available
-
2022-09-17
Dose 4 — Pfizer-BioNTech
- 2022-09-19
- 2022-09-20
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Only when I was lifting weights todayMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-26
- 2022-10-02
- 2022-10-08
-
2022-10-24
Survey response — day 35, dose 4MedDRA: Aphonia, Malaise, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a recent viral illness in which I lost my voiceMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-17 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I missed the opportunity to report on Sat: 2/27. Had fairly intense body-wide myalgias. Chills in the early am hours on 2/27. On Sunday-Monday (2/28-3/1) had tender lymph node under my right axilla.
Release 11 — 6 months, dose 3
Symptoms: URI symptoms: cough/congestion, very mild No fever
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Only when I was lifting weights today
Release 12 — day 35, dose 4
Symptoms: Had a recent viral illness in which I lost my voice
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 | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release