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ZD9-98694-14440

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
117 / NY
Registered
2021-12-14
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-27
    Dose 2 — Moderna
  3. 2021-12-14
    Registered in v-safe
  4. 2021-12-14
    Dose 3 — Moderna
  5. 2021-12-14
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-12-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Just a sore arm arm where the injection went in. Pain is very minor and I continued to work like nothing was wrong
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Muscle is sore a little where shot was given
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Less sore then yesterday so it is improving and most likely will be gone tomorrow
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-12-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-12-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-01-11
    Survey response — day 28, dose 3
    MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, cold symptoms and slight headache
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-03-15
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Dyspnoea, Headache — Feeling: Good
    Free text: I get minor headaches which I never had prior to the vaccine or getting COVID. The headache is light but last all day. I also feel a little winded or out of breath after going up steps.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-06-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-12-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna No
22021-03-27Moderna No
32021-12-14Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Just a sore arm arm where the injection went in. Pain is very minor and I continued to work like nothing was wrong

2021-12-16

Systemic reaction (other): Muscle is sore a little where shot was given

2021-12-17

Systemic reaction (other): Less sore then yesterday so it is improving and most likely will be gone tomorrow

Release 10 — day 28, dose 3

2022-01-11

Symptoms: Sore throat, cold symptoms and slight headache

Release 11 — 3 months, dose 3

2022-03-15

Symptoms: I get minor headaches which I never had prior to the vaccine or getting COVID. The headache is light but last all day. I also feel a little winded or out of breath after going up steps.

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
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDHeadache · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SROInjection site pain · · ✓
SROPain · · ✓

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