ZC5-26890-80826
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 598 / MT
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-04-08
Dose 2 — Moderna
-
2021-04-12
Registered in v-safe
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesFree text: I caught a headcold I think. Ive had a touch of diarreah as well. I don't know but I dont think its related to the vaccine. All this started with a sore throat headache runny nose tiredness. Breathing seems to be fine no shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 7, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Fatigue or tirednessFree text: Head coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint painsAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint painsAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains · Be unable to work or attend schoolAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Arthritis — Feeling: Good · Joint painsFree text: ArthritisMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-03
- 2021-12-08
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Asthenia, Depressed mood, Headache, Malaise, Nasopharyngitis, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dont feel up to par I dont think it has anything to do with covid no energy just feel little down in the dump. Head is kinda swishy feeling like a cold gives you. Little headache sneezy abit. No body aches or vomiting or shortness of breath need restMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I caught a headcold I think. Ive had a touch of diarreah as well. I don't know but I dont think its related to the vaccine. All this started with a sore throat headache runny nose tiredness. Breathing seems to be fine no shortness of breath.
Release 7 — day 7, dose 2
Systemic reaction (other): Head cold
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arthritis
Release 11 — 3 months, dose 3
Symptoms: Dont feel up to par I dont think it has anything to do with covid no energy just feel little down in the dump. Head is kinda swishy feeling like a cold gives you. Little headache sneezy abit. No body aches or vomiting or shortness of breath need rest cut off by CDC
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 | Asthenia | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release