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
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2021-03-15
Registered in v-safe
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2021-03-15
Dose 1 — Moderna
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2021-03-15
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Light-headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Fatigue or tirednessFree 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
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-03-18
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue — Feeling: Good · Fever · Chills, Fatigue or tirednessFree 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
- 2021-03-22
- 2021-03-29
- 2021-04-05
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2021-04-12
Dose 2 — Moderna
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2021-04-12
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Minor sore arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · ChillsFree text: A little shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Chills, Fatigue or tirednessFree text: Continued with minor breathing trouble, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Chills, Fatigue or tirednessFree text: Still a little bit of a breathing issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Chills, Fatigue or tirednessFree text: Still some breathing troubleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 2MedDRA: Dyspnoea — Feeling: Good · Chills, Fatigue or tirednessFree text: Still minor breathing issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Light-headed
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little tired, and arm is a little sore. Otherwise, I'm fine.
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
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
Systemic reaction (other): Minor sore arm.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A little shortness of breath.
Systemic reaction (other): Continued with minor breathing trouble, tightness in chest
Systemic reaction (other): Still a little bit of a breathing issue.
Systemic reaction (other): Still some breathing trouble
Release 7 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release