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Z65-29647-13351

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
128 / NY
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-02
    Registered in v-safe
  3. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Sore throat - mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat - mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-28
    Dose 2 — Moderna
  10. 2021-01-28
    Survey response — day 0, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Face is tingling a little
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work
    Free text: Rash is around my neck and biceps and triceps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  14. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-25
    Survey response — day 28, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair
    Free text: For some reason or another , I have been feeling like Im coming down with a cold every morning when I wake up. I didnt think anything about it until this past weekend but its been like this for at least 3 weeks. By afternoon, they are not pr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-04
    Survey response — day 35, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: I still wake up feeling like I have a cold . It goes away shortly after
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Sore throat - mild

2021-01-04

Systemic reaction (other): Sore throat - mild

Release 2 — day 0, dose 2

2021-01-28

Systemic reaction (other): Face is tingling a little

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Rash is around my neck and biceps and triceps

Release 4 — day 28, dose 2

2021-02-25

Symptoms: For some reason or another , I have been feeling like Im coming down with a cold every morning when I wake up. I didnt think anything about it until this past weekend but its been like this for at least 3 weeks. By afternoon, they are not pr

Release 5 — day 35, dose 2

2021-03-04

Symptoms: I still wake up feeling like I have a cold . It goes away shortly after

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
SDFeeling abnormal ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORash ✓ ✓ ✓

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