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
-
2021-03-27
Dose 1 — Moderna
-
2021-04-13
Registered in v-safe
- 2021-04-13
- 2021-04-17
-
2021-04-26
Survey response — 28 day, dose 1MedDRA: Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-27
Dose 2 — Moderna
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-04
Survey response — 7 day, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-11
Survey response — 14 day, dose 2MedDRA: Dyspnoea, Loss of personal independence in daily activities — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-18
-
2021-05-25
Survey response — 28 day, dose 2MedDRA: Headache — Feeling: Poor · Be unable to workMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-03
Survey response — 35 day, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-08
Survey response — 42 day, dose 2MedDRA: Computerised tomogram head, Headache, Noninfective encephalitis, Pain — Feeling: Fair · Be unable to workMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-07-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-27 | Moderna |
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Computerised tomogram head | ○ | ✓ | ○ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Noninfective encephalitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory disorder | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release