ZKV-93741-70420
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 176 / PA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-22
Dose 1 — Moderna
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2021-03-23
Registered in v-safe
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Stiffness in my shoulder and neck area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
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2021-04-05
Survey response — day 14, dose 1MedDRA: Fatigue, Feeling abnormal, Myalgia — Feeling: FairFree text: Fatigue, muscle aches, brain fog, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Fatigue, Flushing, Headache, Nausea, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: FairFree text: Had a headache, flushing, fatigue, lower abdominal cramping, nausea, some body aches last couple days. A bit worse today, plus slight sore throat. These symptoms flare up episodicallysuch that I thought I had Covid 6+ times. Always test negMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Dose 2 — Moderna
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-23
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-26
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-21
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Arthralgia, Condition aggravated, Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Persistent GI distress, flare ups of an auto-immune type disorder (body aches, joint pain, fatigue, etc.)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Stiffness in my shoulder and neck area around the injection site
Release 6 — day 14, dose 1
Symptoms: Fatigue, muscle aches, brain fog, etc.
Release 7 — day 21, dose 1
Symptoms: Had a headache, flushing, fatigue, lower abdominal cramping, nausea, some body aches last couple days. A bit worse today, plus slight sore throat. These symptoms flare up episodicallysuch that I thought I had Covid 6+ times. Always test neg
Release 11 — 12 months, dose 2
Symptoms: Persistent GI distress, flare ups of an auto-immune type disorder (body aches, joint pain, fatigue, etc.)
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release