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Z2P-37302-14913

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
993 / WA
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Registered in v-safe
  2. 2021-04-16
    Dose 1 — Moderna
  3. 2021-04-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dehydration, Gait disturbance, Nodule — Feeling: Good
    Free text: My right foor has a huge knot that makes it diffecult to walk. Probably related to dehydration from first day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Foot still hurts. Easier to walk on though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-15
    Dose 2 — Moderna
  13. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-05-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-29
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Firm, strong headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-19
    Survey response — day 35, dose 2
    MedDRA: Cellulitis, Headache, Ocular hyperaemia, Pruritus, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cellulitis of the left eyelid. Fever. Blood shot eye. Headache. Ichiness. Currently on heavy antibiotics ( shot, pill and drops).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-14
    Survey response — 3 months, dose 2
    MedDRA: Eye infection, Nasopharyngitis — Feeling: Good
    Free text: A Cold, and an eye infection i dont recall reporting.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-05-17
    Survey response — 12 months, dose 2
    MedDRA: Cough, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good
    Free text: Covid like symptoms - cough, runny nose, headache, chest congestion, sneezing. Home rapid test shows negative.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-15Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): My right foor has a huge knot that makes it diffecult to walk. Probably related to dehydration from first day.

2021-04-20

Systemic reaction (other): Foot still hurts. Easier to walk on though

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Firm, strong headache

Release 9 — day 35, dose 2

2021-06-19

Symptoms: Cellulitis of the left eyelid. Fever. Blood shot eye. Headache. Ichiness. Currently on heavy antibiotics ( shot, pill and drops).

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: A Cold, and an eye infection i dont recall reporting.

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: Covid like symptoms - cough, runny nose, headache, chest congestion, sneezing. Home rapid test shows negative.

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
SDCellulitis ✓ ✓ ✓
SDCough · · ✓
SDEye infection ✓ · ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDOcular hyperaemia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SRODehydration ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SRONodule ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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