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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

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-03-23
    Registered in v-safe
  3. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Stiffness in my shoulder and neck area around the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  5. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Myalgia — Feeling: Fair
    Free text: Fatigue, muscle aches, brain fog, etc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-12
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain lower, Fatigue, Flushing, Headache, Nausea, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: Fair
    Free 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 neg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-19
    Dose 2 — Moderna
  13. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  15. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  19. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Abdominal discomfort, Arthralgia, Condition aggravated, Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free 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

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Stiffness in my shoulder and neck area around the injection site

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Fatigue, muscle aches, brain fog, etc.

Release 7 — day 21, dose 1

2021-04-12

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

2022-04-21

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort · · ✓
SDAbdominal pain lower ✓ ✓ ✓
SDArthralgia · · ✓
SDCondition aggravated · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

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