5ZB-22180-14145
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 486 / MI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel a lot better today, still have achy feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feeling better today, still not doing much, no energy, feel like I been ran over by a truck.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Headache, Insomnia, Malaise, Pain, Throat irritation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Have a server headache that won't let up,chills, ache all over, a scratchy cough. Started getting sick Thursday evening. Didn't any sleep.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Adverse reaction, Office visit — Feeling: PoorFree text: There not covid related as far I know, My doctor is running a battery of tests to find out what is going on.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
-
2022-05-30
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal painAdult check-in
- 2022-05-31
- 2022-06-01
- 2022-06-03
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-07-07
- 2022-07-11
- 2022-08-29
-
2022-11-28
Survey response — 6 months, dose 4MedDRA: Asthenia, Dyspnoea, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Shortness of breath, tire very easily and no strength to hold my arms above my head.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-30 | Pfizer-BioNTech | Shingles |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feel a lot better today, still have achy feeling
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling better today, still not doing much, no energy, feel like I been ran over by a truck.
Release 11 — 3 months, dose 3
Symptoms: Have a server headache that won't let up,chills, ache all over, a scratchy cough. Started getting sick Thursday evening. Didn't any sleep.
Release 11 — 6 months, dose 3
Symptoms: There not covid related as far I know, My doctor is running a battery of tests to find out what is going on.
Release 12 — 6 months, dose 4
Symptoms: Shortness of breath, tire very easily and no strength to hold my arms above my head.
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 | Adverse reaction | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release