ZG2-24790-70035
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Dizziness, Muscle spasms, Oropharyngeal pain — Feeling: Good · Site: Itching · Joint pains, Muscle or body achesFree text: I failed to do the check in over the last couple days since I did not recognize the number. In the first day I experienced mild dizziness immediately after the shot and slight disorientation. After a few minutes I experienced stomach cramps. Within 30 minutes I experienced mild psychoactive effects which lasted less than an hour. Within three hours, more mild stomach cramps. The next day I experienced a mildly sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Dose 2 — Moderna
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2021-05-04
Survey response — day 0, dose 2MedDRA: Immunisation reaction — Feeling: Good · Site: PainFree text: Mild psychotropic effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-06-02
- 2021-06-08
- 2021-06-15
- 2021-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I failed to do the check in over the last couple days since I did not recognize the number. In the first day I experienced mild dizziness immediately after the shot and slight disorientation. After a few minutes I experienced stomach cramps. Within 30 minutes I experienced mild psychoactive effects which lasted less than an hour. Within three hours, more mild stomach cramps. The next day I experienced a mildly sore throat.
Release 8 — day 21, dose 1
Symptoms: Dizziness
Release 8 — day 0, dose 2
Systemic reaction (other): Mild psychotropic effects.
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 | Dizziness | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release