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
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Dehydration, Gait disturbance, Nodule — Feeling: GoodFree 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
-
2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Foot still hurts. Easier to walk on thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-15
Dose 2 — Moderna
- 2021-05-21
- 2021-05-24
-
2021-05-29
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Firm, strong headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
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2021-06-19
Survey response — day 35, dose 2MedDRA: Cellulitis, Headache, Ocular hyperaemia, Pruritus, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-06-26
-
2021-08-14
Survey response — 3 months, dose 2MedDRA: Eye infection, Nasopharyngitis — Feeling: GoodFree text: A Cold, and an eye infection i dont recall reporting.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-13
-
2022-05-17
Survey response — 12 months, dose 2MedDRA: Cough, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-15 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My right foor has a huge knot that makes it diffecult to walk. Probably related to dehydration from first day.
Systemic reaction (other): Foot still hurts. Easier to walk on though
Release 8 — day 14, dose 2
Symptoms: Firm, strong headache
Release 9 — day 35, dose 2
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
Symptoms: A Cold, and an eye infection i dont recall reporting.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye infection | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release