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Z8D-30887-09399

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
441 / OH
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-04-08
    Survey response — day 14, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Mild sore throat this morning. My daughter had what I assume was a cold recently (stuffy nose, low energy for a day) so I am pretty sure that has caused this as my wife also said her throat was a little sore today and she has not yet had her shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Anxiety, Influenza, Nasopharyngitis, Panic attack — Feeling: Fair
    Free text: Panic attack, otherwise improvement with the flu/cold symptoms I had. But the anxiety symptoms (panic attack) was worse than last week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-22
    Dose 2 — Moderna
  7. 2021-04-22
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  9. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good
    Free text: Muscle soreness after a treadmill workout was prolonged more than typical for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-21
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair
    Free text: Congestion/cold like symptoms
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna

Free text

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Mild sore throat this morning. My daughter had what I assume was a cold recently (stuffy nose, low energy for a day) so I am pretty sure that has caused this as my wife also said her throat was a little sore today and she has not yet had her shot.

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Panic attack, otherwise improvement with the flu/cold symptoms I had. But the anxiety symptoms (panic attack) was worse than last week.

Release 7 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Muscle soreness after a treadmill workout was prolonged more than typical for me.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Congestion/cold like symptoms

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
SDAnxiety ✓ ✓ ✓
SDInfluenza ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPanic attack ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SROMyalgia ✓ ✓ ✓

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