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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

  1. 2021-05-17
    Registered in v-safe
  2. 2021-05-17
    Dose 1 — Moderna
  3. 2021-05-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Started feeling dizzy about 8 hours after the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: I felt kind of dizzy on and off throughout the day and could not go to work today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Feeling much better than yesterday, I worked yesterday and today because I had to
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-14
    Dose 2 — Moderna
  14. 2021-06-14
    Health check-in — day 0, dose 2
    Feeling: 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 activities
    Adult check-in
  15. 2021-06-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  16. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  17. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-06-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-05
    Survey response — day 21, dose 2
    MedDRA: 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 activities
    Free 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 tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-12-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-15
    Dose 3 — Moderna
  28. 2022-06-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-07-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-17Moderna
22021-06-14Moderna
32022-01-15Moderna No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-18

Systemic reaction (other): Started feeling dizzy about 8 hours after the shot

2021-05-19

Systemic reaction (other): I felt kind of dizzy on and off throughout the day and could not go to work today

2021-05-21

Systemic reaction (other): Feeling much better than yesterday, I worked yesterday and today because I had to

Release 9 — day 21, dose 2

2021-07-05

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ ✓ ✓
SDDermatitis contact ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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