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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

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Thirst — Feeling: Fair · Site: Pain
    Free 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
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: I feel as if there is a swollen area under the armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free 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
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-20
    Survey response — day 7, dose 1
    MedDRA: Headache, Self-medication — Feeling: Fair · Headache
    Free text: Unusual headache through the night and the morning .. took some ibuprofen for the headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-09
    Dose 2 — Moderna
  12. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Sneezing — Feeling: Good
    Free 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 anything
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-23
    Survey response — day 42, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair
    Free 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 time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

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

2021-01-15

Systemic reaction (other): I feel as if there is a swollen area under the armpit

2021-01-16

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

2021-01-20

Systemic reaction (other): Unusual headache through the night and the morning .. took some ibuprofen for the headache

Release 4 — day 21, dose 2

2021-03-02

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

2021-03-23

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

FieldPreferred term2021-092023-042024-11
SDHypoaesthesia ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFeeling abnormal ○ ○ ○
SROHeadache ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROThirst ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release