Z7X-50111-41987
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 312 / GA
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-17
Registered in v-safe
-
2021-05-17
Dose 1 — Moderna
- 2021-05-17
-
2021-05-18
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Started feeling dizzy about 8 hours after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Impaired work ability — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I felt kind of dizzy on and off throughout the day and could not go to work todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
-
2021-05-21
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Feeling much better than yesterday, I worked yesterday and today because I had toMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-31
- 2021-06-07
-
2021-06-14
Dose 2 — Moderna
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2021-06-14
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-06-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-06-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-06-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-20
- 2021-06-21
- 2021-06-28
-
2021-07-05
Survey response — day 21, dose 2MedDRA: Chills, Dermatitis contact, Dizziness, Headache, Hyperhidrosis, Nausea, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I saw my doctor last week for a bad case of poison ivy, the poison ivy pills along with that second Covid shot is having us really bad effect on me. Massive headaches, dizziness, body aches, sweats, chills, fever, nausea, Going to my dr tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
- 2021-07-19
- 2021-07-26
- 2021-09-13
- 2021-12-13
-
2022-01-15
Dose 3 — Moderna
- 2022-06-14
- 2022-07-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-17 | Moderna | |
| 2 | 2021-06-14 | Moderna | |
| 3 | 2022-01-15 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Started feeling dizzy about 8 hours after the shot
Systemic reaction (other): I felt kind of dizzy on and off throughout the day and could not go to work today
Systemic reaction (other): Feeling much better than yesterday, I worked yesterday and today because I had to
Release 9 — day 21, dose 2
Symptoms: I saw my doctor last week for a bad case of poison ivy, the poison ivy pills along with that second Covid shot is having us really bad effect on me. Massive headaches, dizziness, body aches, sweats, chills, fever, nausea, Going to my dr tomorrow
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dermatitis contact | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release