VKS-19651-37927
3 vaccinations
0 coded responses
26 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 086 / NJ
- Registered
- 2021-08-08
- Relationship
- Adult relative or friend
- Guardian
- YRE-22755-62867
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-07
Dose 1 — Moderna
-
2021-08-08
Registered in v-safe
-
2021-08-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-08-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-08-10
- 2021-08-11
- 2021-08-13
- 2021-08-14
- 2021-08-21
- 2021-08-28
-
2021-09-04
Dose 2 — Moderna
- 2021-09-04
-
2021-09-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-09-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do their normal daily activitiesAdult check-in
-
2021-09-07
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-06
- 2021-10-09
- 2021-10-16
-
2022-02-06
Dose 3 — Moderna
-
2022-02-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2022-02-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · DiarrheaAdult check-in
- 2022-02-09
- 2022-02-10
- 2022-02-20
- 2022-02-27
- 2022-03-06
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-07 | Moderna | No |
| 2 | 2021-09-04 | Moderna | No |
| 3 | 2022-02-06 | Moderna | No |
Free text
None.
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
No MedDRA codes.