ZC3-55518-19639
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 106 / NY
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: My idiopathic neuropathy in feet seemed more pronouncedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Neuropathy peripheral — Feeling: Fair · Site: PainFree text: Idiopathic neuropathy in feet feels intenseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Asthenia, Sleep disorder — Feeling: Fair · Site: PainFree text: Weakness and pain in left arm joint after shoveling snow; prevented me from sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Joint painsFree text: Left arm joint is a little painful, but that may be because of snow shoveling on Thursday2 days B after second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: I have not slept well since 2d vaccine; best night was close to 6 hours sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 7, dose 2MedDRA: Asthenia, Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Still a little tired, not fully energized. Sleep is still compromisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-17
- 2021-03-24
- 2021-03-30
- 2021-05-18
- 2021-08-18
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My idiopathic neuropathy in feet seemed more pronounced
Systemic reaction (other): Idiopathic neuropathy in feet feels intense
Systemic reaction (other): Weakness and pain in left arm joint after shoveling snow; prevented me from sleeping
Systemic reaction (other): Left arm joint is a little painful, but that may be because of snow shoveling on Thursday2 days B after second vaccine
Systemic reaction (other): I have not slept well since 2d vaccine; best night was close to 6 hours sleep
Release 4 — day 7, dose 2
Systemic reaction (other): Still a little tired, not fully energized. Sleep is still compromised
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release