ZJD-31700-05810
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
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2021-01-19
Dose 1 — Moderna
- 2021-01-19
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Functional gastrointestinal disorder — Feeling: Fair · Abdominal painFree text: Lower colon distress last 4 days sinc shot. Today is best day & not so tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-02-02
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2021-02-09
Survey response — day 21, dose 1MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe headache from 7:30 am - 3 pm. Had to set in recliner for 2 hours with heat on back of my neck. Felt fatigue today. Better at 5pm but not 100%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Dose 2 — Moderna
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2021-02-16
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Rash on upper torso for 12 hours. Non itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
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2021-02-23
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-02
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2021-03-11
Survey response — day 21, dose 2MedDRA: Arthralgia, Fatigue, Myalgia, Somnolence — Feeling: PoorFree text: I take a Repatha injection once every three weeks and took it Monday. I have experienced high level of fatigue as well as muscle & joint pain & desire to sleep more than usual. I have been taking Repatha for 3 years. Always some react but not as badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Arthralgia, Cough, Fatigue, Reaction to previous exposure to any vaccine, Vaccine positive rechallenge — Feeling: FairFree text: Persistent cough and fatigue, severe joint pain. I am retired. I push through it and try remaining active. Had same reaction for about 8 weeks after second shot then good for 6 weeks then bad again.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Lower colon distress last 4 days sinc shot. Today is best day & not so tired
Release 3 — day 21, dose 1
Symptoms: Severe headache from 7:30 am - 3 pm. Had to set in recliner for 2 hours with heat on back of my neck. Felt fatigue today. Better at 5pm but not 100%
Release 4 — day 0, dose 2
Systemic reaction (other): No
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rash on upper torso for 12 hours. Non itchy
Release 5 — day 21, dose 2
Symptoms: I take a Repatha injection once every three weeks and took it Monday. I have experienced high level of fatigue as well as muscle & joint pain & desire to sleep more than usual. I have been taking Repatha for 3 years. Always some react but not as bad cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Persistent cough and fatigue, severe joint pain. I am retired. I push through it and try remaining active. Had same reaction for about 8 weeks after second shot then good for 6 weeks then bad again.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | · | ✓ |
| SRO | Functional gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release