3ZM-15788-58403
2 vaccinations
6 coded responses
15 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 104 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: Fair · Site: PainFree text: Just very thirsty since receiving the vaccine, felt as if I was going to get a fever but I did not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: I feel as if there is a swollen area under the armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Getting a little tired more than usual, my whole body feels like I have been working out, I have not attended my gym since the vaccine I am planning on starting on Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
-
2021-01-20
Survey response — day 7, dose 1MedDRA: Headache, Self-medication — Feeling: Fair · HeadacheFree text: Unusual headache through the night and the morning .. took some ibuprofen for the headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-08
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2021-02-09
Dose 2 — Moderna
- 2021-02-24
-
2021-03-02
Survey response — day 21, dose 2MedDRA: Sneezing — Feeling: GoodFree text: All of a sudden I am sneezing without a cause even while I am in bed, or inside of my car, just random and its continuous sneezing I am not allergic to anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 42, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: FairFree text: I get tingling on my left hand and numb ness on my fingers from time to time my left arm is where the first shot was administered. As if I am hitting my funny bone all the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Just very thirsty since receiving the vaccine, felt as if I was going to get a fever but I did not.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I feel as if there is a swollen area under the armpit
Systemic reaction (other): Getting a little tired more than usual, my whole body feels like I have been working out, I have not attended my gym since the vaccine I am planning on starting on Monday.
Release 2 — day 7, dose 1
Systemic reaction (other): Unusual headache through the night and the morning .. took some ibuprofen for the headache
Release 4 — day 21, dose 2
Symptoms: All of a sudden I am sneezing without a cause even while I am in bed, or inside of my car, just random and its continuous sneezing I am not allergic to anything
Release 6 — day 42, dose 2
Symptoms: I get tingling on my left hand and numb ness on my fingers from time to time my left arm is where the first shot was administered. As if I am hitting my funny bone all the time
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 | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ○ | ○ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release