ZK7-29304-70425
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 015 / MA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
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2021-02-19
Survey response — day 14, dose 1MedDRA: Pain — Feeling: GoodFree text: 3 or 4 days after- bilateral upper body aches for about 5 hrs.. sense of disease.could have been snow shoveling but I was surprised didnt do much shoveling and am in good shape.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness · Fever · Muscle or body achesFree text: Although I felt a bit feverish on awakening temporal thermometer said WNLMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 2MedDRA: Cough, Headache, Pain — Feeling: FairFree text: Achy again bit of cough headache todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 21, dose 2MedDRA: Myalgia, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Burning pain in skin inside left arm along bicep/triceps muscle running 5-6 inches out from arm pit. This is shoulder got shot in pain. Pain started 3/14 continues to present. PCP r/o lymph, shingles, muscle cardiac. No visible signs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
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2021-09-01
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat 2 day then congestion, cough, headache 2 day fever under 100, sx gone in 7 daysMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
- 2022-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Unsuccessful | |
| 2021-09-01 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: 3 or 4 days after- bilateral upper body aches for about 5 hrs.. sense of disease.could have been snow shoveling but I was surprised didnt do much shoveling and am in good shape.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Although I felt a bit feverish on awakening temporal thermometer said WNL
Release 5 — day 14, dose 2
Symptoms: Achy again bit of cough headache today
Release 6 — day 21, dose 2
Symptoms: Burning pain in skin inside left arm along bicep/triceps muscle running 5-6 inches out from arm pit. This is shoulder got shot in pain. Pain started 3/14 continues to present. PCP r/o lymph, shingles, muscle cardiac. No visible signs.
Release 9 — 6 months, dose 2
Symptoms: Sore throat 2 day then congestion, cough, headache 2 day fever under 100, sx gone in 7 days
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 | Body temperature increased | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release