ZCG-57476-69721
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 020 / MA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 2 — Moderna
-
2021-04-05
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-09
- 2021-04-10
- 2021-04-12
-
2021-04-19
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Yesterday and today, I felt very fatigued and cannot explain why....I got my shot two weeks agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 21, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel heaviness in chwst and am short-winded...I don't know if is due to shots...started a week ago yesterday two weeks aftwr vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
- 2021-05-18
- 2021-07-05
-
2021-10-26
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Hypertension — Feeling: GoodFree text: I normally have low (good) blood pressure. Today , I took my blood pressure at CVS (twice) and it indicated that I had high blood press(hypertension). ....a first ever for me!MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Health check-in — day 7, dose 3Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-26
-
2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-07-11
- 2022-10-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 7 — day 14, dose 2
Symptoms: Yesterday and today, I felt very fatigued and cannot explain why....I got my shot two weeks ago
Release 8 — day 21, dose 2
Symptoms: I feel heaviness in chwst and am short-winded...I don't know if is due to shots...started a week ago yesterday two weeks aftwr vaccinated
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I normally have low (good) blood pressure. Today , I took my blood pressure at CVS (twice) and it indicated that I had high blood press(hypertension). ....a first ever for me!
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypertension | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release