ZBW-29271-97137
1 vaccination
4 coded responses
16 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 283 / NC
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Uncontrollable shaking for 15 to 20 minutes. Rested in bed and shaking went away. Drank some hot chocolate before lying down and had to put a lid on it to keep from spilling it because of the shaking. I had Covid early Sept 2020.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shaking of the body last night about 10 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: Pain, Redness, SwellingFree text: Put ice pack on arm twice to help and took 500 mg tylenol as needed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-06
Survey response — day 35, dose 1MedDRA: Pyrexia, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sinus congestian and low fever. Doing better now. It was earlier this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-05-01
- 2021-07-31
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Uncontrollable shaking for 15 to 20 minutes. Rested in bed and shaking went away. Drank some hot chocolate before lying down and had to put a lid on it to keep from spilling it because of the shaking. I had Covid early Sept 2020.
Systemic reaction (other): Shaking of the body last night about 10 minutes.
Systemic reaction (other): Put ice pack on arm twice to help and took 500 mg tylenol as needed.
Release 5 — day 35, dose 1
Symptoms: Sinus congestian and low fever. Doing better now. It was earlier this week.
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 | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release