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XZC-11324-30570

2 vaccinations 9 coded responses 13 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
945 / CA
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-27
    Dose 1 — Moderna
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-17
    Health check-in — 21 day, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-04-26
    Survey response — 28 day, dose 1
    MedDRA: Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-04-27
    Dose 2 — Moderna
  7. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pain, Vision blurred — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthma, Chest pain, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Pre-existing disease, Respiratory disorder — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-05-04
    Survey response — 7 day, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-05-11
    Survey response — 14 day, dose 2
    MedDRA: Dyspnoea, Loss of personal independence in daily activities — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  12. 2021-05-18
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-25
    Survey response — 28 day, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  14. 2021-06-03
    Survey response — 35 day, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-06-08
    Survey response — 42 day, dose 2
    MedDRA: Computerised tomogram head, Headache, Noninfective encephalitis, Pain — Feeling: Fair · Be unable to work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-07-29
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Moderna
22021-04-27Moderna

Free text

Release 8

Symptoms: The next morning after the First COVID 19 shot I had not eaten breakfast and I was just standing talking with a couple people and I had a really dizzy fit that lasted for 30 to 40 seconds and i realized i had to finish eating instead of just coffee. cut off by CDC

Systemic reaction (other): Blurry eyes for two days and mild throbbing head slight moderate and light head pain

Systemic reaction (other): Chest pain or respiratory problems. More elevated asthma symptoms

Systemic reaction (other): Pain in chest and sluggish Respiratory function. I do have asthma and i have heard from PCP doctors that i have good lungs heart & bones

Systemic reaction (other): Light headedness when first waking in morning.

Symptoms: Little difficulty breathing free and cannpt continue daily activities unless getting minimal resting moments. Cannot talk for very long periods of time momentarily.

Symptoms: Real severe headache for few hours now so far.

Symptoms: Headache like feeling out of it. Did take a nitric oxide pill and drank enough water but might have taken the second pill before 12 hours. And i drank a marine phyto plankton and water cleansing drink early in the morning then went back to sleep.

Symptoms: Feels like i have a nagging little brain ache. Kind of like a headache but more sourced to inflammation as well as also the pain. It is not too promising, somewhat of concern.seems to happen like from 11 am - 6pmAlong that unless when waking.

Free-text releases are not linked to a specific 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

FieldPreferred term2021-092023-042024-11
SDComputerised tomogram head ○ ✓ ○
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDNoninfective encephalitis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROAsthma ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory disorder ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release