Z5K-64731-36136
3 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 435 / OH
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Very slight very mild. But noticeable. I rarely have a headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: Very subtle, not much and it went away about 2-3 hours laterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pyrexia, Sluggishness — Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessFree text: Fever overnight, chills, and a very mild headache. Kind of sluggish this morning but this afternoon I feel much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-11-24
Dose 3 — Moderna
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea, SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tirednessFree text: When working around the house I have labored breathing. I also as of yesterday been tested for Covid19 and came back positive.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — day 7, dose 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · HeadacheFree text: Head congestion. Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — day 14, dose 3MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: GoodFree text: On November 29, I was tested for Covid19 and it was positive. The only symptoms I've had was a slight sore throat, vey mild cough, slight headache, and nasal congestion. I never had a fever, it was never hard to breathe. Just nasal congestion today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
- 2022-05-25
- 2022-11-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very slight very mild. But noticeable. I rarely have a headache.
Systemic reaction (other): Very subtle, not much and it went away about 2-3 hours later
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Fever overnight, chills, and a very mild headache. Kind of sluggish this morning but this afternoon I feel much better.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): When working around the house I have labored breathing. I also as of yesterday been tested for Covid19 and came back positive.
Release 10 — day 7, dose 3
Systemic reaction (other): Head congestion. Runny nose
Release 10 — day 14, dose 3
Symptoms: On November 29, I was tested for Covid19 and it was positive. The only symptoms I've had was a slight sore throat, vey mild cough, slight headache, and nasal congestion. I never had a fever, it was never hard to breathe. Just nasal congestion today. cut off by CDC
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release