ZH6-31194-65497
4 vaccinations
9 coded responses
43 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Minor soreness at injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Minor soreness at shot location in shoulder has ended at end of the day today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity — Feeling: Good · Site: Pain · Joint painsFree text: Slight sensitivity in lower left arm (shot arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessFree text: Left hand skin sensitivity (possibly nerve inflammation)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-14
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2021-04-21
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Minor joint pain in hands, knees, feet, lower back and abdomen. However, this could have been from exercise and/or seasonal allergens. None of the above exist as of today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-07-07
Survey response — 3 months, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: A little diarrhea the last 2 days, but think it is from some spicy food I ate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-06
-
2021-12-05
Dose 3 — Moderna
- 2021-12-06
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Sensitive skin — Feeling: Good · Site: Pain, SwellingFree text: Nerve sensitivity within the skin behind right ear similar to the feeling you get before you get an ear ache.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-11
- 2021-12-12
- 2021-12-21
- 2021-12-26
- 2022-01-02
-
2022-01-11
Survey response — day 35, dose 3MedDRA: Back pain, Pre-existing disease — Feeling: GoodFree text: Having some lower back pain last few weeks, but I am confident this relates to past back issues that flare up periodically.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-03-06
-
2022-05-15
Dose 4 — Moderna
- 2022-05-19
- 2022-05-21
- 2022-05-22
- 2022-05-29
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2022-06-05
Survey response — day 21, dose 4MedDRA: COVID-19 — Feeling: FairFree text: No problems with vaccine. Recently caught COVID-19 while on vacation.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
- 2022-06-19
- 2022-06-26
- 2022-08-14
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
| 4 | 2022-05-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Minor soreness at injection
Systemic reaction (other): Minor soreness at shot location in shoulder has ended at end of the day today.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight sensitivity in lower left arm (shot arm)
Systemic reaction (other): Left hand skin sensitivity (possibly nerve inflammation)
Release 7 — day 14, dose 2
Symptoms: Minor joint pain in hands, knees, feet, lower back and abdomen. However, this could have been from exercise and/or seasonal allergens. None of the above exist as of today.
Release 9 — 3 months, dose 2
Symptoms: A little diarrhea the last 2 days, but think it is from some spicy food I ate.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nerve sensitivity within the skin behind right ear similar to the feeling you get before you get an ear ache.
Release 10 — day 35, dose 3
Symptoms: Having some lower back pain last few weeks, but I am confident this relates to past back issues that flare up periodically.
Release 11 — day 21, dose 4
Symptoms: No problems with vaccine. Recently caught COVID-19 while on vacation.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release