Z27-24220-25089
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 925 / CA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-13
Registered in v-safe
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2021-04-13
Dose 1 — Moderna
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to workAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 7, dose 1MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Constant coughing and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 14, dose 1MedDRA: Arthralgia, Cough, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Scratchy throat, persistent cough and joint pain in wrist and shouldersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 21, dose 1MedDRA: Arthralgia, Cough, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Persistent cough and shoulder area still sore without full motion. Cough has lessened as j drink more hot beverages and water.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-05-13
Dose 2 — Moderna
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2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-22
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-03
- 2021-06-10
- 2021-06-17
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2021-06-26
Survey response — day 42, dose 2MedDRA: Abdominal pain, Arthralgia, Cough, Productive cough — Feeling: Good · Be unable to do your normal daily activitiesFree text: Soreness in abdomen and shoulder where shot was taken. Small cough with phlegm getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-12
Survey response — 3 months, dose 2MedDRA: Cough, Haemoptysis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Persistent cough and red tinged mucusMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-11
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2022-05-13
Survey response — 12 months, dose 2MedDRA: Cough — Feeling: GoodFree text: Consistent cough that goes away for a day or two and then comea back.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Scratchy throat
Release 7 — day 7, dose 1
Systemic reaction (other): Constant coughing and sore throat
Release 8 — day 14, dose 1
Symptoms: Scratchy throat, persistent cough and joint pain in wrist and shoulders
Release 8 — day 21, dose 1
Symptoms: Persistent cough and shoulder area still sore without full motion. Cough has lessened as j drink more hot beverages and water.
Release 8 — day 7, dose 2
Systemic reaction (other): Sore throat
Release 9 — day 42, dose 2
Symptoms: Soreness in abdomen and shoulder where shot was taken. Small cough with phlegm getting better.
Release 9 — 3 months, dose 2
Symptoms: Persistent cough and red tinged mucus
Release 11 — 12 months, dose 2
Symptoms: Consistent cough that goes away for a day or two and then comea back.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Haemoptysis | ✓ | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release