5NZ-24331-41973
5 vaccinations
5 coded responses
47 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 497 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-18
-
2021-04-09
Dose 2 — Moderna
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-11-04
Dose 3 — Moderna
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Feeling hot, Hyperhidrosis, Pain, Pyrexia — Feeling: Fair · Fatigue or tirednessFree text: The day after the injection, I had fever, fatigue, aches, chills, hot, and sweating all over a 16hr periodMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
-
2021-11-11
Health check-in — day 7, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-18
- 2021-11-25
-
2021-12-02
Survey response — day 28, dose 3MedDRA: Dysuria, Fatigue, Oropharyngeal pain, Prostate cancer, Prostatic disorder, Respiratory tract irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue, mild sore throat, mild upper lung irritation. I forgot to mention that with both the initial shots and now with the booster, I have had some prostate issues, trouble going pee. It did slowly reduce after the first shots and getting better.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
-
2021-12-16
Survey response — day 42, dose 3MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue daily, sore throat today only.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
-
2022-04-15
Dose 4 — Pfizer-BioNTech
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
-
2022-04-29
Survey response — day 14, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Gaston intestinal. Yesterday only. Probably unrelated to the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-09-13
Dose 5 — ModernaCo-administered: Flu
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-15
-
2023-03-14
Survey response — 6 months, dose 5MedDRA: Abdominal discomfort, Depression, Dizziness, Fatigue, Malaise — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-14
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-15
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after the injection, I had fever, fatigue, aches, chills, hot, and sweating all over a 16hr period
Release 10 — day 28, dose 3
Symptoms: Fatigue, mild sore throat, mild upper lung irritation. I forgot to mention that with both the initial shots and now with the booster, I have had some prostate issues, trouble going pee. It did slowly reduce after the first shots and getting better. cut off by CDC
Release 10 — day 42, dose 3
Symptoms: Fatigue daily, sore throat today only.
Release 11 — day 14, dose 4
Symptoms: Gaston intestinal. Yesterday only. Probably unrelated to the shot.
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 | Depression | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dysuria | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Prostate cancer | · | · | ✓ |
| SD | Prostatic disorder | · | · | ✓ |
| SD | Respiratory tract irritation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release