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
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Hot flush — Feeling: Good · Site: PainFree text: Flush feelingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash, Self-medication — Feeling: Good · Site: PainFree 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
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree 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
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Swelling — Feeling: GoodFree text: My neck on opposite side of injection feels mildly swollen and there's a cough that's started yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Middle ear effusion, Pre-existing disease, Swelling — Feeling: Good · Site: PainFree 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
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Ear discomfort, Fatigue — Feeling: Good · Site: Pain · Muscle or body achesFree text: I did feel slightly fatigued today but I'm also fighting some kind of inner ear thing and a slight coughMedDRA 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: Sluggishness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaFree 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 pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-06-29
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2021-12-31
Survey response — 12 months, dose 1MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Caught covid had after ThanksgivingMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Flush feelings
Release 1 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Just occasional cough which could be from dry air or reflux issues.
Systemic reaction (other): My neck on opposite side of injection feels mildly swollen and there's a cough that's started yesterday
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...
Systemic reaction (other): I did feel slightly fatigued today but I'm also fighting some kind of inner ear thing and a slight cough
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Middle ear effusion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release