2SZ-23421-82290
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 954 / CA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 1MedDRA: Injection site discolouration, Injection site mass, Injection site warmth, Pain, Pain in extremity, Swelling — Feeling: GoodFree text: Eight days after my first shot in my left arm, the left arm became achy again. A lump had developed at the injection site. By the next day, an area several inches around the site was pink and swollen and warm. Aching and swelling lasted a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-06-12
Survey response — day 28, dose 2MedDRA: Contusion, Feeling abnormal, Pain, Pruritus — Feeling: GoodFree text: Its PROBABLY not related, buta few days ago, a cluster of bruises appeared on the inner side of my upper arm (opposite where I got my first shot). I dont remember hitting anything there. Theres no pain or itching. Just kind ofweird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
-
2021-06-26
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Chills — Feeling: GoodFree text: Upset stomach last night, with feeling of chills. (Probably unrelated to vaccination.) Felt better in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-13
- 2021-11-12
-
2021-11-23
Dose 3 — Moderna
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
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2021-12-14
Survey response — day 21, dose 3MedDRA: Headache — Feeling: FairFree text: Just a mild to moderate headache for the last day or so. PROBABLY not related to the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-28
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2022-01-04
Survey response — day 42, dose 3MedDRA: Body temperature decreased, Chills, Headache, Neck pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache and neck-ache last week, along with chills and LOW body temp (96.4 degrees F). Lasted about a day, then I felt better.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-22
- 2022-05-24
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2022-11-23
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Laryngitis, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had COVID-19 with sore throat, fever, cough. And later had (likely) a cold with sore throat, laryngitis, stuffiness, and cough.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Free text
Release 8 — day 14, dose 1
Symptoms: Eight days after my first shot in my left arm, the left arm became achy again. A lump had developed at the injection site. By the next day, an area several inches around the site was pink and swollen and warm. Aching and swelling lasted a few days. cut off by CDC
Release 9 — day 28, dose 2
Symptoms: Its PROBABLY not related, buta few days ago, a cluster of bruises appeared on the inner side of my upper arm (opposite where I got my first shot). I dont remember hitting anything there. Theres no pain or itching. Just kind ofweird.
Release 9 — day 42, dose 2
Symptoms: Upset stomach last night, with feeling of chills. (Probably unrelated to vaccination.) Felt better in the morning.
Release 10 — day 21, dose 3
Symptoms: Just a mild to moderate headache for the last day or so. PROBABLY not related to the shot.
Release 10 — day 42, dose 3
Symptoms: Headache and neck-ache last week, along with chills and LOW body temp (96.4 degrees F). Lasted about a day, then I felt better.
Release 12 — 12 months, dose 3
Symptoms: Had COVID-19 with sore throat, fever, cough. And later had (likely) a cold with sore throat, laryngitis, stuffiness, and cough.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Body temperature decreased | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release