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Y2Q-21713-35168

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
070 / NJ
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Chills
    Free text: Not truly feeling pain, but rather a soreness when the area around the shot is touched or I lean on that arm. mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: Muscle & body aches refers primarily to a back ache as does my scale rating for category below
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-05
    Survey response — day 21, dose 1
    MedDRA: Ear pain, Odynophagia — Feeling: Fair
    Free text: Developed ear-ache in left ear. Feel the pain more acutely when I swallow. Do NOT associate it with my vaccination not with covid-19 but if I still feel pain by tomorrow (02/06/2021) I will go to an Urgent Clinic for evaluation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-11
    Dose 2 — Moderna
  14. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Shortness of breadth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-22
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-23
    Survey response — 6 months, dose 3
    MedDRA: Dysstasia, Pain, Pain in extremity, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nothing related to Covid-19. Been experiencing sharp pain in back of upper thigh when standing or turning. OTC ibuprofen seems to alleviate it.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-11Moderna
32021-09-22Moderna Flu

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Not truly feeling pain, but rather a soreness when the area around the shot is touched or I lean on that arm. mild

2021-01-17

Systemic reaction (other): Muscle & body aches refers primarily to a back ache as does my scale rating for category below

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Developed ear-ache in left ear. Feel the pain more acutely when I swallow. Do NOT associate it with my vaccination not with covid-19 but if I still feel pain by tomorrow (02/06/2021) I will go to an Urgent Clinic for evaluation.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Shortness of breadth

Release 11 — 6 months, dose 3

2022-03-23

Symptoms: Nothing related to Covid-19. Been experiencing sharp pain in back of upper thigh when standing or turning. OTC ibuprofen seems to alleviate it.

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

FieldPreferred term2021-092023-042024-11
SDDysstasia · · ✓
SDEar pain ✓ ✓ ✓
SDOdynophagia ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDSelf-medication · · ✓
SROBack pain ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release