ZH7-33019-17232
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia, Pain, Palpitations — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: 03/11/21 my heart was racing for about 4 hours. Then I got really tired but could not sleep. Areas where I have had previous trauma had pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-08
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2021-04-13
Dose 2 — Moderna
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Pain in extremity — Feeling: Fair · Site: Swelling · DiarrheaFree text: This is day 3 after second shot. I had diarrhea each of the 2 previous days. As well as pain like thrombosis or something in the forearm of the arm that got the shot (right). Had some chills over the last 2 days as well as being tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
- 2021-04-19
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Oral discomfort — Feeling: GoodFree text: Not new. Continuing. Lower lip still has strange feelings. Started maybe an hour after shot #1. It's not there all the time, but it comes and goes regularly. Hard to describe sensation. Like it's trying to swell up but I don't notice it swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-12
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): 03/11/21 my heart was racing for about 4 hours. Then I got really tired but could not sleep. Areas where I have had previous trauma had pain.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): This is day 3 after second shot. I had diarrhea each of the 2 previous days. As well as pain like thrombosis or something in the forearm of the arm that got the shot (right). Had some chills over the last 2 days as well as being tired.
Release 9 — 3 months, dose 2
Symptoms: Not new. Continuing. Lower lip still has strange feelings. Started maybe an hour after shot #1. It's not there all the time, but it comes and goes regularly. Hard to describe sensation. Like it's trying to swell up but I don't notice it swelling.
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 | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release