Z2E-22482-73357
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 080 / NJ
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 21, dose 2MedDRA: COVID-19, Chills, Pain, Pyrexia — Feeling: GoodFree text: Over 2 days I had an occasional low-grade fever with chills and body aches. Just in case I had a COVID test done today and await the results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-10-24
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — day 7, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: GoodFree text: You should know that these check-ins began 3 days after I received the booster shot. The evening of and the day after I was feverish and had both headaches and full body aches. I was back to normal 36 hours after the shot and have felt fine since.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — day 14, dose 3MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness and feeling nauseatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Have a sore throat from a cold.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Free text
Release 7 — day 21, dose 2
Symptoms: Over 2 days I had an occasional low-grade fever with chills and body aches. Just in case I had a COVID test done today and await the results.
Release 10 — day 7, dose 3
Systemic reaction (other): You should know that these check-ins began 3 days after I received the booster shot. The evening of and the day after I was feverish and had both headaches and full body aches. I was back to normal 36 hours after the shot and have felt fine since.
Release 10 — day 14, dose 3
Symptoms: Dizziness and feeling nauseated
Release 12 — 12 months, dose 3
Symptoms: Have a sore throat from a cold.
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release