ZDH-94313-70288
5 vaccinations
10 coded responses
70 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea, but I do not think it was vaccine-relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-11-01
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Dry mouthMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
-
2021-11-15
Survey response — day 14, dose 3MedDRA: Headache — Feeling: GoodFree text: headache, do not think it was vaccine-related thoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-13
Survey response — day 42, dose 3MedDRA: Pruritus, Rash — Feeling: FairFree text: itching, rash .. not related to vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: Insomnia, Pruritus, Temperature intolerance — Feeling: FairFree text: itching in groin area, unusual sensitivity to cold temperatures, difficulty sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
-
2022-05-06
Dose 4 — Moderna
-
2022-05-06
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-07
Survey response — days 1–6 daily, dose 4MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Dry mouthMedDRA releases: 2024-11 · check-in free text available
-
2022-05-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
-
2022-08-05
Survey response — 3 months, dose 4MedDRA: Hordeolum — Feeling: FairFree text: Stye in eye (likely unrelated to vaccine or COVID-19)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Dose 5 — Moderna
- 2022-09-28
-
2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: Dry mouth, Insomnia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Dry Mouth, insomniaMedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
-
2022-10-12
Survey response — day 14, dose 5MedDRA: Chills, Insomnia, Nasal congestion, Pain — Feeling: FairFree text: Nasal congestion, slight chills, achy feeling, insomnia, no fever. Was recently in contact with person who tested positive for COVID-19. I self tested three times over 4 days and tested negative all three times. Worst symptoms were 2 days ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth
Release 8 — day 35, dose 2
Symptoms: Diarrhea, but I do not think it was vaccine-related
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dry mouth
Release 10 — day 14, dose 3
Symptoms: headache, do not think it was vaccine-related though
Release 10 — day 42, dose 3
Symptoms: itching, rash .. not related to vaccine
Release 11 — 3 months, dose 3
Symptoms: itching in groin area, unusual sensitivity to cold temperatures, difficulty sleeping
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dry mouth
Release 12 — 3 months, dose 4
Symptoms: Stye in eye (likely unrelated to vaccine or COVID-19)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Dry Mouth, insomnia
Release 12 — day 14, dose 5
Symptoms: Nasal congestion, slight chills, achy feeling, insomnia, no fever. Was recently in contact with person who tested positive for COVID-19. I self tested three times over 4 days and tested negative all three times. Worst symptoms were 2 days ago.
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hordeolum | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Temperature intolerance | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release