ZG3-22225-92285
1 vaccination
4 coded responses
7 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 852 / AZ
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-23
Dose 1 — Moderna
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2021-04-28
Registered in v-safe
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2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Dizziness, Dyspnoea, Hyperhidrosis, Immediate post-injection reaction, Vision blurred — Feeling: Good · Site: PainFree text: Not today, but the day of the shot (4/23) I began profusely sweating, my eyesight became very blurry, I became slightly dizzy and felt like I had a hard time catching my breath, though it did not feel like my throat was swelling. This happened within 5 minutes of the shot and lasted about 20 minutes before returning to normal, though there was still slight fogginess in my head for another couple hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, SwellingFree text: Shot location pain almost zero yesterday. Today is probably the worst day yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 14, dose 1MedDRA: Contusion, Pain in extremity, Skin discolouration — Feeling: GoodFree text: Arm soreness got better within 6 days after shot, then day 7 I woke up with the worst arm soreness yet and lasted until day 12. Still discolored from bruising.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-28
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2021-07-23
Survey response — 3 months, dose 1MedDRA: COVID-19, Cough, Sputum discoloured — Feeling: Fair · Be unable to work or attend schoolFree text: Covid positive. Moderate cough with green phlegm in mornings & evenings (seems to be after laying down at night or after getting up in the morning). No fever, aches, smell/taste issues, etc., just a cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Not today, but the day of the shot (4/23) I began profusely sweating, my eyesight became very blurry, I became slightly dizzy and felt like I had a hard time catching my breath, though it did not feel like my throat was swelling. This happened within 5 minutes of the shot and lasted about 20 minutes before returning to normal, though there was still slight fogginess in my head for another couple hours.
Release 8 — day 7, dose 1
Systemic reaction (other): Shot location pain almost zero yesterday. Today is probably the worst day yet.
Release 8 — day 14, dose 1
Symptoms: Arm soreness got better within 6 days after shot, then day 7 I woke up with the worst arm soreness yet and lasted until day 12. Still discolored from bruising.
Release 9 — 3 months, dose 1
Symptoms: Covid positive. Moderate cough with green phlegm in mornings & evenings (seems to be after laying down at night or after getting up in the morning). No fever, aches, smell/taste issues, etc., just a cough.
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 | Contusion | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | ✓ | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release