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Z8B-21221-35878

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
920 / CA
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Survey response — day 0, dose 1
    MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Muscle and joint pain in hips & legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches
    Free text: Same areas as yesterday, but much more mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Same as yesterday, hip and upper leg muscle pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches
    Free text: Swelling of Lymph Nodes in my neck.....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-16
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-09
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Back pain, Dizziness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My second shot was postponed until March 13,Due to a supply problem. I am rescheduled to get it then. In the interim, I have had a few dizzy spells and some muscle aches and pains in my shoulders & upper back.....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-13
    Dose 2 — Moderna
  15. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  19. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-03
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Dizziness, Fatigue — Feeling: Fair
    Free text: Low energy, dizzyness, tired.......
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-17
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Chills, Fatigue — Feeling: Fair
    Free text: Chills and weakness....... tired....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-11
    Survey response — 6 months, dose 2
    MedDRA: Atrial fibrillation, Dyspnoea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Difficulty in breathing perhaps temperature and humidity related, but not sure. Temperature seems normal. More frequent instances of AFIB notified by Apple iPhone. No air conditioning at home need to go to beach with dog in air conditione
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-13Moderna

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Muscle and joint pain in hips & legs

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Same areas as yesterday, but much more mild.

2021-02-11

Systemic reaction (other): Same as yesterday, hip and upper leg muscle pain.

2021-02-12

Systemic reaction (other): Swelling of Lymph Nodes in my neck.....

Release 5 — day 28, dose 1

2021-03-09

Symptoms: My second shot was postponed until March 13,Due to a supply problem. I am rescheduled to get it then. In the interim, I have had a few dizzy spells and some muscle aches and pains in my shoulders & upper back.....

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Dizziness

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Low energy, dizzyness, tired.......

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Chills and weakness....... tired....

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Difficulty in breathing perhaps temperature and humidity related, but not sure. Temperature seems normal. More frequent instances of AFIB notified by Apple iPhone. No air conditioning at home need to go to beach with dog in air conditione

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
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDAtrial fibrillation · · ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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