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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

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tremor — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  5. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tremor — Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Shaking of the body last night about 10 minutes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling
    Free 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
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-06
    Survey response — day 35, dose 1
    MedDRA: Pyrexia, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  15. 2021-03-11
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-05-01
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-07-31
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2022-01-28
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

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.

2021-01-30

Systemic reaction (other): Shaking of the body last night about 10 minutes.

2021-01-31

Systemic reaction (other): Put ice pack on arm twice to help and took 500 mg tylenol as needed.

Release 5 — day 35, dose 1

2021-03-06

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

FieldPreferred term2021-092023-042024-11
SDPyrexia ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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