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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

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  5. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Scratchy throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-20
    Survey response — day 7, dose 1
    MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Constant coughing and sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-29
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Cough, Throat irritation — Feeling: Good · Be unable to do your normal daily activities
    Free text: Scratchy throat, persistent cough and joint pain in wrist and shoulders
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-04
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Cough, Mobility decreased — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  9. 2021-05-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-13
    Dose 2 — Moderna
  11. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-22
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-26
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain, Arthralgia, Cough, Productive cough — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  19. 2021-08-12
    Survey response — 3 months, dose 2
    MedDRA: Cough, Haemoptysis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Persistent cough and red tinged mucus
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-13
    Survey response — 12 months, dose 2
    MedDRA: Cough — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-13Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Scratchy throat

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): Constant coughing and sore throat

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Scratchy throat, persistent cough and joint pain in wrist and shoulders

Release 8 — day 21, dose 1

2021-05-04

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

2021-05-22

Systemic reaction (other): Sore throat

Release 9 — day 42, dose 2

2021-06-26

Symptoms: Soreness in abdomen and shoulder where shot was taken. Small cough with phlegm getting better.

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Persistent cough and red tinged mucus

Release 11 — 12 months, dose 2

2022-05-13

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDHaemoptysis ✓ · ✓
SDMobility decreased ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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