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Z7D-76622-43403

1 vaccination 8 coded responses 12 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
301 / GA
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Survey response — day 0, dose 1
    MedDRA: Hot flush — Feeling: Good · Site: Pain
    Free text: Flush feelings
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash, Self-medication — Feeling: Good · Site: Pain
    Free text: Not sure if there's a rash or just an itchy spot but it just started 5 minutes ago. I put some skin lotion and steroid creme on it to see if it subsides. It formed on my left forearm the same arm that received the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good
    Free text: Just occasional cough which could be from dry air or reflux issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Swelling — Feeling: Good
    Free text: My neck on opposite side of injection feels mildly swollen and there's a cough that's started yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Middle ear effusion, Pre-existing disease, Swelling — Feeling: Good · Site: Pain
    Free text: Had some water build up behind my right eardrum but the dr said it is not infected. Probably from my cpap. Right side of neck felt swollen but is subsiding...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Ear discomfort, Fatigue — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: I did feel slightly fatigued today but I'm also fighting some kind of inner ear thing and a slight cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sluggishness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: It really came on last night and lingered into the morning. I almost called out from work but things are so busy with covid patients I had to push through and go to work. Still feeling somewhat sluggish at 230 pm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-29
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-12-31
    Survey response — 12 months, dose 1
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Caught covid had after Thanksgiving
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Flush feelings

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Not sure if there's a rash or just an itchy spot but it just started 5 minutes ago. I put some skin lotion and steroid creme on it to see if it subsides. It formed on my left forearm the same arm that received the injection.

2020-12-31

Systemic reaction (other): Just occasional cough which could be from dry air or reflux issues.

2021-01-01

Systemic reaction (other): My neck on opposite side of injection feels mildly swollen and there's a cough that's started yesterday

2021-01-02

Systemic reaction (other): Had some water build up behind my right eardrum but the dr said it is not infected. Probably from my cpap. Right side of neck felt swollen but is subsiding...

2021-01-03

Systemic reaction (other): I did feel slightly fatigued today but I'm also fighting some kind of inner ear thing and a slight cough

2021-01-04

Systemic reaction (other): It really came on last night and lingered into the morning. I almost called out from work but things are so busy with covid patients I had to push through and go to work. Still feeling somewhat sluggish at 230 pm

Release 10 — 12 months, dose 1

2021-12-31

Symptoms: Caught covid had after Thanksgiving

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
SDCOVID-19 · · ✓
SROCough ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROMiddle ear effusion ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSluggishness ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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