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ZKS-14895-29564

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
297 / SC
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Registered in v-safe
  2. 2021-03-15
    Dose 1 — Moderna
  3. 2021-03-15
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Light-headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Fatigue or tiredness
    Free text: A little tired, and arm is a little sore. Otherwise, I'm fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Became extremely tired Tuesday in the early evening. A little tired Wednesday morning, felt fine by lunchtime and rest of day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue — Feeling: Good · Fever · Chills, Fatigue or tiredness
    Free text: Similar to Tuesday night, felt extremely tired Saturday night. Had some chills. Feel fine today (Sunday).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-12
    Dose 2 — Moderna
  14. 2021-04-12
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Minor sore arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills
    Adult check-in
  16. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Chills
    Free text: A little shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: Continued with minor breathing trouble, tightness in chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: Still a little bit of a breathing issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: Still some breathing trouble
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-19
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Chills, Fatigue or tiredness
    Free text: Still minor breathing issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna

Free text

Release 5 — day 0, dose 1

2021-03-15

Systemic reaction (other): Light-headed

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): A little tired, and arm is a little sore. Otherwise, I'm fine.

2021-03-17

Systemic reaction (other): Became extremely tired Tuesday in the early evening. A little tired Wednesday morning, felt fine by lunchtime and rest of day.

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Similar to Tuesday night, felt extremely tired Saturday night. Had some chills. Feel fine today (Sunday).

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Minor sore arm.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): A little shortness of breath.

2021-04-16

Systemic reaction (other): Continued with minor breathing trouble, tightness in chest

2021-04-17

Systemic reaction (other): Still a little bit of a breathing issue.

2021-04-18

Systemic reaction (other): Still some breathing trouble

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Still minor breathing issues

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
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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