5ZV-22018-44478
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 158 / PA
- Registered
- 2021-08-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-24
Registered in v-safe
-
2021-08-24
Dose 1 — Moderna
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-07
- 2021-09-14
- 2021-09-21
- 2021-09-28
-
2021-09-30
Dose 2 — Moderna
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Fatigue, Headache, Pain in extremity, Pyrexia — Feeling: GoodFree text: I lost the paper to scan to update when I actually got my second shot, so I couldn't update until just a few days ago instead of a week ago when I got it. I did experience sore arm for two days, and had cold sweats, fever, headache, and exhaustion.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
-
2022-01-01
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Rash, SARS-CoV-2 test negative — Feeling: FairFree text: Had bad cold symptoms with a rash on one side of my body. Had a Covid test done three days after symptoms started, and it came back 5 days later negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-24 | Moderna | No |
| 2 | 2021-09-30 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): I lost the paper to scan to update when I actually got my second shot, so I couldn't update until just a few days ago instead of a week ago when I got it. I did experience sore arm for two days, and had cold sweats, fever, headache, and exhaustion. cut off by CDC
Release 10 — 3 months, dose 2
Symptoms: Had bad cold symptoms with a rash on one side of my body. Had a Covid test done three days after symptoms started, and it came back 5 days later negative.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release