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Z3V-26306-69076

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
948 / CA
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Registered in v-safe
  2. 2021-03-19
    Dose 1 — Moderna
  3. 2021-03-19
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-16
    Dose 2 — Moderna
  14. 2021-04-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Somnolence — Feeling: Good
    Free text: Need extra hour of sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: I needed an extra 90 min sleep then fine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-30
    Survey response — day 14, dose 2
    MedDRA: Testicular swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: I have one enlarged testicle. I noticed 5 days after 2nd vaccine. Cant say if its related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-07
    Survey response — day 21, dose 2
    MedDRA: Testicular swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: More enlarged left testicle. This began the week after 2nd vaccine shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-21
    Survey response — day 35, dose 2
    MedDRA: Epididymal cyst, Testicular swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: The enlarged testicle I observed turns out to be a cyst in the epididymis. A spermatacele or hydrocele. Examination and possible corrective procedures required. Cant tell if it started before or after vaccination. Noticed after 2nd injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-04-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Need extra hour of sleep

2021-04-22

Systemic reaction (other): I needed an extra 90 min sleep then fine

Release 8 — day 14, dose 2

2021-04-30

Symptoms: I have one enlarged testicle. I noticed 5 days after 2nd vaccine. Cant say if its related.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: More enlarged left testicle. This began the week after 2nd vaccine shot.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: The enlarged testicle I observed turns out to be a cyst in the epididymis. A spermatacele or hydrocele. Examination and possible corrective procedures required. Cant tell if it started before or after vaccination. Noticed after 2nd injection.

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
SDEpididymal cyst ✓ ✓ ✓
SDTesticular swelling ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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