ZGL-12421-84714
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-05
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Rash, not including the immediate area around the injection siteFree text: I had a fever of 100.2 after yesterdays report, but resolved overnight. No fever today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Redness, SwellingFree text: Since last check in moderate-severe stiffness in muscles along spine and shoulders. Resolved overnight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Rash, SARS-CoV-2 test negative — Feeling: GoodFree text: Strange rash on the sides of my chest. It was a very distinct pattern that Ive noticed only twice before: after each dose of the COVID vax. A PCR COVID test administered with 24 hrs of rash was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-29
-
2021-11-29
Dose 3 — Pfizer-BioNTech
-
2022-03-31
Survey response — 12 months, dose 2MedDRA: Chills, Cough, Oropharyngeal pain, Pyrexia, Rash, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, congestion, cough, rash, fever, chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-13
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-19
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I had a fever of 100.2 after yesterdays report, but resolved overnight. No fever today.
Systemic reaction (other): Since last check in moderate-severe stiffness in muscles along spine and shoulders. Resolved overnight.
Release 9 — 3 months, dose 2
Symptoms: Strange rash on the sides of my chest. It was a very distinct pattern that Ive noticed only twice before: after each dose of the COVID vax. A PCR COVID test administered with 24 hrs of rash was negative.
Release 11 — 12 months, dose 2
Symptoms: Sore throat, congestion, cough, rash, fever, chills
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release