5ZL-29516-30308
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 376 / TN
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Having mild headaches. Have been ignoring them sincw the shot. This mornings was tough. It may be related to other newer meds. Ill not take the new med tonight.s,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 7, dose 1MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Feeling better as the Headaches are subsiding. Did take 1 tylenol this morninglMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-18
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Fatigue or tirednessFree text: Low grade fever gone. Better late in the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: 4 days ago i had an extreme case of vertigo. I believed it to be an inner ear malady. Ive never experienced anything like it before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Having mild headaches. Have been ignoring them sincw the shot. This mornings was tough. It may be related to other newer meds. Ill not take the new med tonight.s,
Release 4 — day 7, dose 1
Systemic reaction (other): Feeling better as the Headaches are subsiding. Did take 1 tylenol this morningl
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Low grade fever gone. Better late in the day.
Release 7 — day 28, dose 2
Symptoms: 4 days ago i had an extreme case of vertigo. I believed it to be an inner ear malady. Ive never experienced anything like it before.
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 | Vertigo | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release