YJX-25616-10933
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: A lymph node in my arm that I received the first Moderna dose in was sore yesterday. I didnt realize it was bothering me until after I had completed yesterday afternoons symptom survey.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Oddly, I had intermittent lightening pains down my left side, the side I had the shot on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Chills, Cough, Fatigue, Lymphadenopathy, Medical counselling, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: Two months ago I may have had a mild case of Covid. My PCP thinks I did. I was NOT tested. I did NOT see my doctor. Chills. Fatigue. Cough. Sneezing. Congestion. Low grade temp. Very large lymph nodes in my throat. Lasted about 3-4 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Survey response — 12 months, dose 2MedDRA: Adverse reaction, Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: GoodFree text: I believe it was spring allergy related. I got a very runny nose and head congestion. Felt tired for about a week. Had a cough and sneezing.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A lymph node in my arm that I received the first Moderna dose in was sore yesterday. I didnt realize it was bothering me until after I had completed yesterday afternoons symptom survey.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Oddly, I had intermittent lightening pains down my left side, the side I had the shot on.
Release 10 — 6 months, dose 2
Symptoms: Two months ago I may have had a mild case of Covid. My PCP thinks I did. I was NOT tested. I did NOT see my doctor. Chills. Fatigue. Cough. Sneezing. Congestion. Low grade temp. Very large lymph nodes in my throat. Lasted about 3-4 days.
Release 11 — 12 months, dose 2
Symptoms: I believe it was spring allergy related. I got a very runny nose and head congestion. Felt tired for about a week. Had a cough and sneezing.
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 | Adverse reaction | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release