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ZLZ-26881-40848

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
740 / OK
Registered
2021-04-09
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Rapid resting heart rate. 110bpm ( normally 60 - 65) Spol 92 normally 98+
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Fatigue or tiredness, Nausea
    Free text: Not diarrhea , but loose stools, and a little stomach upset.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite — Feeling: Good · Nausea
    Free text: Poor appetite...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-23
    Survey response — day 14, dose 1
    MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to work
    Free text: Stomach pain, nausea and vomiting .2 separate days 3 days apart.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Dose 2 — Moderna
  14. 2021-05-07
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Adult check-in
  16. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Abdominal pain
    Adult check-in
  17. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain
    Adult check-in
  18. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Diarrhea, Abdominal pain
    Adult check-in
  19. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  20. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · Nausea, Abdominal pain
    Adult check-in
  21. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-28
    Survey response — day 21, dose 2
    MedDRA: Contusion, Feeling hot, Hypoaesthesia, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain in both feet. Swelling in the left foot and discoloration of the skin. Both feet are warm with numbness in the toes. Middle toes on the left foot are dark blue ( like dark bruises).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-11-05
    Survey response — 6 months, dose 2
    MedDRA: Muscle spasms, Myalgia — Feeling: Good
    Free text: Muscle aches & cramps
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-07
    Survey response — 12 months, dose 2
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Coughing and congestion
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Rapid resting heart rate. 110bpm ( normally 60 - 65) Spol 92 normally 98+

2021-04-13

Systemic reaction (other): Not diarrhea , but loose stools, and a little stomach upset.

2021-04-15

Systemic reaction (other): Poor appetite...

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Stomach pain, nausea and vomiting .2 separate days 3 days apart.

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): No

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Pain in both feet. Swelling in the left foot and discoloration of the skin. Both feet are warm with numbness in the toes. Middle toes on the left foot are dark blue ( like dark bruises).

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Muscle aches & cramps

Release 11 — 12 months, dose 2

2022-05-07

Symptoms: Coughing and congestion

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
SDContusion ✓ ✓ ✓
SDCough · · ✓
SDFeeling hot ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMuscle spasms · · ✓
SDMyalgia · · ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDVomiting ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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