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
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Moderna
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Fatigue or tiredness, NauseaFree text: Not diarrhea , but loose stools, and a little stomach upset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · NauseaFree text: Poor appetite...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — day 7, dose 1Feeling: Fair · Fever · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-23
Survey response — day 14, dose 1MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to workFree 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
- 2021-04-30
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2021-05-07
Dose 2 — Moderna
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2021-05-07
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Abdominal painAdult check-in
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 21, dose 2MedDRA: Contusion, Feeling hot, Hypoaesthesia, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-08-06
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2021-11-05
Survey response — 6 months, dose 2MedDRA: Muscle spasms, Myalgia — Feeling: GoodFree text: Muscle aches & crampsMedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Survey response — 12 months, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Coughing and congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Rapid resting heart rate. 110bpm ( normally 60 - 65) Spol 92 normally 98+
Systemic reaction (other): Not diarrhea , but loose stools, and a little stomach upset.
Systemic reaction (other): Poor appetite...
Release 7 — day 14, dose 1
Symptoms: Stomach pain, nausea and vomiting .2 separate days 3 days apart.
Release 8 — day 0, dose 2
Systemic reaction (other): No
Release 8 — day 21, dose 2
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
Symptoms: Muscle aches & cramps
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release