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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

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-27
    Registered in v-safe
  3. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Epistaxis — Feeling: Fair · Fatigue or tiredness
    Free 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
  4. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-13
    Dose 2 — Moderna
  7. 2021-04-13
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: Arm soreness. I got the shot a few hours ago. No rash or spot around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  10. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Good · Site: Pain
    Free 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
  11. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free 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
  12. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  13. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna

Free text

Release 6 — day 7, dose 1

2021-03-27

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

2021-04-13

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

2021-04-16

Systemic reaction (other): I got a bloody nose today, dont know if its related for sure.

2021-04-17

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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