ZJF-23917-22259
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 211 / MD
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Dose 1 — Moderna
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2021-02-17
Registered in v-safe
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2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-23
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-02
Survey response — day 14, dose 1MedDRA: Chills, Gastric disorder, Influenza like illness, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach issues, flu likeChillsBody achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-16
Dose 2 — Moderna
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2021-03-23
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-31
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2021-04-06
Survey response — day 21, dose 2MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueLack of sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 28, dose 2MedDRA: Arthralgia, Fatigue, Pain in extremity, Sinus headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue.Sinus headache for several days.Joint pain over the weekend - legs and arms, shouldersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 35, dose 2MedDRA: Arthralgia, Immunisation reaction, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Moderna Arm. Some swelling at injection site.Soreness in elbow joints.Low grade fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 42, dose 2MedDRA: Arthralgia, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain left arm, left side, left foot. Same side as injection. Low grade fever.Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — 3 months, dose 2MedDRA: Hypertension — Feeling: Good · Be unable to do your normal daily activitiesFree text: High blood pressure levels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-15
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2022-03-18
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shortness of breathe, fatigue, just tired.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Stomach issues, flu likeChillsBody aches
Release 7 — day 21, dose 2
Symptoms: FatigueLack of sleep
Release 7 — day 28, dose 2
Symptoms: Fatigue.Sinus headache for several days.Joint pain over the weekend - legs and arms, shoulders
Release 7 — day 35, dose 2
Symptoms: Moderna Arm. Some swelling at injection site.Soreness in elbow joints.Low grade fever.
Release 8 — day 42, dose 2
Symptoms: Joint pain left arm, left side, left foot. Same side as injection. Low grade fever.Headache.
Release 9 — 3 months, dose 2
Symptoms: High blood pressure levels.
Release 11 — 12 months, dose 2
Symptoms: Shortness of breathe, fatigue, just tired.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release