FZW-76106-75449
5 vaccinations
2 coded responses
37 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Therapeutic response unexpected — Feeling: GoodFree text: Ectopic heartbeats which started in November 2020 and continued through February 2021 ceased to exist within 2 weeks of my final Covid 19 vaccination. They have never returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-20
-
2021-11-28
Dose 3 — Moderna
-
2022-02-19
Survey response — 12 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm for 6 weeks after COVID 19 booster injection received on 11-28-21. It's better nowMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Dose 4 — Moderna
-
2022-10-04
Dose 5 — Moderna
- 2022-10-04
- 2022-10-05
-
2022-10-06
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Fever · Muscle or body achesAdult check-in
-
2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Fever · Muscle or body achesAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-28 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-10-04 | Moderna | No |
Free text
Release 8 — 3 months, dose 2
Symptoms: Ectopic heartbeats which started in November 2020 and continued through February 2021 ceased to exist within 2 weeks of my final Covid 19 vaccination. They have never returned.
Release 11 — 12 months, dose 2
Symptoms: Sore arm for 6 weeks after COVID 19 booster injection received on 11-28-21. It's better now
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 | Pain in extremity | · | · | ✓ |
| SD | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release