ZBT-31604-58972
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
-
2021-01-02
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Left cheek facial tingling for about 10 minutes aprox 3 hours post vaccine.no facial drooping or difficulties swallowing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Feeling hot, Flushing — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal painFree text: Multiple dizzy spells after dizzy spell occurred felt very warm,skin was flush on face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-02-04
Dose 2 — Moderna
-
2021-02-20
Survey response — day 14, dose 2MedDRA: Chills, Headache, Pain, Pyrexia, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: After the vaccine terrible fever,chills,headaches, body aches which did not respond to ibuprofen symptoms lasted about 36 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-13
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Hypoacusis, Memory impairment, SARS-CoV-2 test positive — Feeling: GoodFree text: Since + covid test 4 weeks ago i have decreased hearing right ear only and decreased memoryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Left cheek facial tingling for about 10 minutes aprox 3 hours post vaccine.no facial drooping or difficulties swallowing.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Multiple dizzy spells after dizzy spell occurred felt very warm,skin was flush on face.
Release 4 — day 14, dose 2
Symptoms: After the vaccine terrible fever,chills,headaches, body aches which did not respond to ibuprofen symptoms lasted about 36 hours
Release 11 — 12 months, dose 2
Symptoms: Since + covid test 4 weeks ago i have decreased hearing right ear only and decreased memory
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 | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release