ZEV-32522-99047
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 813 / CO
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site discomfort, Injection site pain — Feeling: Good · Site: PainFree text: General bruised feeling sensitivity within 3â€to 4†of injection site. Rather tender; about same as felt with a Tetanus vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Site: PainFree text: Bruised feeling at injection is dissipating; still tender to touch/pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain · HeadacheFree text: Headache evidenced about 7 hours post vaccination and has not subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-10-23
Dose 3 — Moderna
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild to moderate. Presented about 10-12 hrs post vaccination.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Lymph node pain, Renal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Moderate ache in lower back kidney area. Lymph node beneath vaccine arm very tenderMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): General bruised feeling sensitivity within 3â€to 4†of injection site. Rather tender; about same as felt with a Tetanus vaccination.
Systemic reaction (other): Bruised feeling at injection is dissipating; still tender to touch/pressure.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Headache evidenced about 7 hours post vaccination and has not subsided.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild to moderate. Presented about 10-12 hrs post vaccination.
Systemic reaction (other): Moderate ache in lower back kidney area. Lymph node beneath vaccine arm very tender
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 | Adverse reaction | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release