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
-
2020-12-31
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sore throat - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-14
- 2021-01-21
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2021-01-28
Dose 2 — Moderna
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2021-01-28
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Face is tingling a littleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: 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 workFree text: Rash is around my neck and biceps and tricepsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
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2021-02-25
Survey response — day 28, dose 2MedDRA: Feeling abnormal — Feeling: FairFree 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 prMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 35, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: I still wake up feeling like I have a cold . It goes away shortly afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-04-29
- 2021-07-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat - mild
Systemic reaction (other): Sore throat - mild
Release 2 — day 0, dose 2
Systemic reaction (other): Face is tingling a little
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Rash is around my neck and biceps and triceps
Release 4 — day 28, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release