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
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · ChillsFree text: Not truly feeling pain, but rather a soreness when the area around the shot is touched or I lean on that arm. mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Muscle & body aches refers primarily to a back ache as does my scale rating for category belowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Ear pain, Odynophagia — Feeling: FairFree 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
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breadthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-09-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-26
- 2021-10-27
- 2021-11-03
- 2021-12-22
-
2022-03-23
Survey response — 6 months, dose 3MedDRA: Dysstasia, Pain, Pain in extremity, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2022-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-09-22 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
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
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
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
Systemic reaction (other): Shortness of breadth
Release 11 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dysstasia | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Odynophagia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release