ZML-24967-69368
3 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
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2021-03-12
Dose 2 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 35, dose 2MedDRA: Chills, Fatigue — Feeling: FairFree text: Fatigue and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-06-11
- 2021-09-12
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2021-10-30
Dose 3 — Moderna
- 2021-10-30
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-03
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-13
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2021-11-22
Survey response — day 21, dose 3MedDRA: Depression, Fatigue, Nasal congestion — Feeling: PoorFree text: Fatigue, depression, stuffy nose.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-04
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2021-12-11
Survey response — day 42, dose 3MedDRA: Anxiety, Asthenia, Depressed mood, Dizziness, Nasal congestion — Feeling: FairFree text: Stuffy nose in the mornings, very low energy, light headed, depressed and anxious.MedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Nasal congestion, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: Stuffy nose, sneezing, some coughing and very tired. I was concerned I might have Covid so got PCR test at (b)(6) and it was negative. Figure I got a nasty cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
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2022-11-01
Survey response — 12 months, dose 3MedDRA: Fear, Pre-existing disease, Tinnitus — Feeling: FairFree text: Possible mild cold. I also have developed tinnitus which started a couple years ago which I think came after I got the Covid 19 vaccination. I am now afraid to get the second booster because of the severity of the tinnitus.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 7 — day 28, dose 2
Symptoms: Fatigue
Release 7 — day 35, dose 2
Symptoms: Fatigue and chills
Release 10 — day 21, dose 3
Symptoms: Fatigue, depression, stuffy nose.
Release 10 — day 42, dose 3
Symptoms: Stuffy nose in the mornings, very low energy, light headed, depressed and anxious.
Release 11 — 3 months, dose 3
Symptoms: Stuffy nose, sneezing, some coughing and very tired. I was concerned I might have Covid so got PCR test at (b)(6) and it was negative. Figure I got a nasty cold.
redacted (b)(6)
Release 12 — 12 months, dose 3
Symptoms: Possible mild cold. I also have developed tinnitus which started a couple years ago which I think came after I got the Covid 19 vaccination. I am now afraid to get the second booster because of the severity of the tinnitus.
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 | Anxiety | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release