ZFB-27644-44086
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 125 / NY
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
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2021-03-27
Survey response — day 7, dose 1MedDRA: Epistaxis — Feeling: Fair · Fatigue or tirednessFree text: I did get a bloody nose exactly a week after the shot. It was odd. It was two nosebleeds back to back. The blood seemed normal, not thick or thin and clotted like a nosebleed would.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Arm soreness. I got the shot a few hours ago. No rash or spot around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-15
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Good · Site: PainFree text: I got a bloody nose today, dont know if its related for sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: I had abdominal pain for about a half hour last night so unsure if its even related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-20
- 2021-04-29
- 2021-05-04
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I did get a bloody nose exactly a week after the shot. It was odd. It was two nosebleeds back to back. The blood seemed normal, not thick or thin and clotted like a nosebleed would.
Release 7 — day 0, dose 2
Systemic reaction (other): Arm soreness. I got the shot a few hours ago. No rash or spot around injection site
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I got a bloody nose today, dont know if its related for sure.
Systemic reaction (other): I had abdominal pain for about a half hour last night so unsure if its even related.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release