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ZPF-26081-31070

3 vaccinations 5 coded responses 40 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
600 / IL
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Survey response — day 0, dose 1
    MedDRA: Dry mouth, Eye pruritus — Feeling: Good
    Free text: Slightly itchy eyes at night, slight cotton mouth (mild)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-19
    Survey response — day 14, dose 1
    MedDRA: Injection site rash — Feeling: Good
    Free text: On 8th/9th day I had a rash at inoculation point about 3 in size. My sister and daughter and same experience
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-02
    Dose 2 — Moderna
  14. 2021-04-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Forgot to mention friday night, sleeplessness evening - NONE
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Ear pain, Pain in jaw — Feeling: Good
    Free text: Had a weird ear pain in one side at the jaw joint area and side of one knee at the joint. I did not put them together until I later understood that joint pain is seemingly a side effect?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-03
    Dose 3 — Moderna
  29. 2021-12-03
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  31. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  32. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-12-03
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school
    Free text: Got Covid
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna
32021-12-03Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Slightly itchy eyes at night, slight cotton mouth (mild)

Release 5 — day 14, dose 1

2021-03-19

Symptoms: On 8th/9th day I had a rash at inoculation point about 3 in size. My sister and daughter and same experience

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Forgot to mention friday night, sleeplessness evening - NONE

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Had a weird ear pain in one side at the jaw joint area and side of one knee at the joint. I did not put them together until I later understood that joint pain is seemingly a side effect?

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Got Covid

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
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDEar pain ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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

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