ZAE-24037-66900
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 580 / ND
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Faeces soft — Feeling: Good · Site: Pain · HeadacheFree text: My stool has gotten real soft. Almost diarrhea. My wife was vaccinated too a few days earlier and that was her pattern too but she's full blown diarrhea now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Nasopharyngitis — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: Lymph nodes swelled in my neck. Felt like the beginning of a cold, but abated after several hours. Lymph nodes returned to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Headache, Fatigue or tirednessFree text: Had a very hard time sleeping last night. Probably not vaccine related..... I took a nap and I'm goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Lower back pain only.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-14
- 2021-01-21
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2021-01-28
Dose 2 — Moderna
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Survey response — day 42, dose 2MedDRA: Cough, Malaise, Nausea — Feeling: PoorFree text: I feel sick. Coughing and nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — 3 months, dose 2MedDRA: Injection site erythema — Feeling: GoodFree text: The injection site on my arm has become red and is almost like a boil.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): My stool has gotten real soft. Almost diarrhea. My wife was vaccinated too a few days earlier and that was her pattern too but she's full blown diarrhea now.
Systemic reaction (other): Lymph nodes swelled in my neck. Felt like the beginning of a cold, but abated after several hours. Lymph nodes returned to normal
Systemic reaction (other): Had a very hard time sleeping last night. Probably not vaccine related..... I took a nap and I'm good
Systemic reaction (other): Lower back pain only.
Release 5 — day 42, dose 2
Symptoms: I feel sick. Coughing and nausea.
Release 8 — 3 months, dose 2
Symptoms: The injection site on my arm has become red and is almost like a boil.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release