Z8C-22615-37335
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 56-60
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to workFree text: Low temperature. 96 degreesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-03
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Stuffy nose and congestion, slight coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 14, dose 2MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to workFree text: I think I caught a head cold from my 4yo nephew (he tested negative for covid). I have a runny nose, couching , congestion They cancelled nephews preschool today because teachers were out sick. Said not covid related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 21, dose 2MedDRA: Injection site erythema, Injection site induration, Injection site irritation, Injection site nodule, Injection site pain, Injection site pruritus — Feeling: FairFree text: Irritation at injection site. Firmness/knot , pain , itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 28, dose 2MedDRA: Burning sensation, Dry skin, Erythema, Immunisation reaction, Peripheral swelling, Pruritus, Skin exfoliation — Feeling: FairFree text: Vaccine arm has continued since last check in. The worst symptoms of swelling, burning and itching and extreme redness subsided on Monday. My Arm is now only slightly red and the skin encompassing the affected area is now dry and flakeyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
-
2021-06-08
Survey response — day 42, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to workFree text: Caught a cold two days after last vaccine. Lasted four weeks. Injured my rib muscles couching too much. Still cannot work due to injury.(tested for covid-negative). Worried vaccine exacerbated my cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-27
- 2021-10-26
-
2021-11-13
Dose 3 — Moderna
-
2022-04-19
Dose 4 — Pfizer-BioNTech
-
2022-04-29
Health check-in — day 7, dose 4Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-03
- 2022-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Low temperature. 96 degrees
Release 8 — day 7, dose 2
Systemic reaction (other): Stuffy nose and congestion, slight cough
Release 8 — day 14, dose 2
Symptoms: I think I caught a head cold from my 4yo nephew (he tested negative for covid). I have a runny nose, couching , congestion They cancelled nephews preschool today because teachers were out sick. Said not covid related.
Release 8 — day 21, dose 2
Symptoms: Irritation at injection site. Firmness/knot , pain , itching.
Release 8 — day 28, dose 2
Symptoms: Vaccine arm has continued since last check in. The worst symptoms of swelling, burning and itching and extreme redness subsided on Monday. My Arm is now only slightly red and the skin encompassing the affected area is now dry and flakey
Release 8 — day 42, dose 2
Symptoms: Caught a cold two days after last vaccine. Lasted four weeks. Injured my rib muscles couching too much. Still cannot work due to injury.(tested for covid-negative). Worried vaccine exacerbated my cold.
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ○ |
| SD | Injection site induration | · | · | ✓ |
| SD | Injection site irritation | · | · | ✓ |
| SD | Injection site nodule | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release