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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

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Survey response — day 14, dose 1
    MedDRA: Pain — Feeling: Good
    Free 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
  4. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-03
    Dose 2 — Moderna
  6. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness · Fever · Muscle or body aches
    Free text: Although I felt a bit feverish on awakening temporal thermometer said WNL
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  13. 2021-03-17
    Survey response — day 14, dose 2
    MedDRA: Cough, Headache, Pain — Feeling: Fair
    Free text: Achy again bit of cough headache today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-24
    Survey response — day 21, dose 2
    MedDRA: Myalgia, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  15. 2021-03-24
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-01
    Survey response — 6 months, dose 2
    MedDRA: 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 consultation
    Free text: Sore throat 2 day then congestion, cough, headache 2 day fever under 100, sx gone in 7 days
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-09-01
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-09-02
  23. 2022-03-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-03Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-24 Unsuccessful
2021-09-01 Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-19

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

2021-03-04

Systemic reaction (other): Although I felt a bit feverish on awakening temporal thermometer said WNL

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Achy again bit of cough headache today

Release 6 — day 21, dose 2

2021-03-24

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

2021-09-01

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

FieldPreferred term2021-092023-042024-11
SDBody temperature increased ✓ · ✓
SDCough ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPain ✓ ✓ ✓
SDRespiratory tract congestion ✓ · ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release