ZQB-79572-09682
4 vaccinations
13 coded responses
37 check-ins
13 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 014 / MA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
-
2021-04-23
Survey response — day 0, dose 1MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Im sure my prostate is enlarged. I feel like I have the seasonal fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: ItchingFree text: Most of my symptoms have dissipated!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: Slightly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I want to correct this.. my first vaccine was 3/25/21 and my second vac was 4/22/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I seem to be back to my OLD self!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
-
2021-04-30
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Im feeling like my old self again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Please understand Ive had both vaccinations. The first was 3/25/21 and the second was 4/22/21 Im completely vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Doing well!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
-
2021-10-25
Dose 3 — Moderna
- 2021-11-12
- 2022-05-14
-
2022-09-16
Dose 4 — Pfizer-BioNTech
- 2022-09-16
-
2022-09-17
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: SwellingFree text:MedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: None. Happy to say so!!MedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Im sure my prostate is enlarged. I feel like I have the seasonal flu
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Most of my symptoms have dissipated!!
Systemic reaction (other): Slightly dizzy
Systemic reaction (other): I want to correct this.. my first vaccine was 3/25/21 and my second vac was 4/22/21
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I seem to be back to my OLD self!!!
Release 8 — day 7, dose 1
Systemic reaction (other): Im feeling like my old self again.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Please understand Ive had both vaccinations. The first was 3/25/21 and the second was 4/22/21 Im completely vaccinated.
Systemic reaction (other): Doing well!!
Systemic reaction (other): None
Release 8 — day 7, dose 2
Systemic reaction (other): No symptoms
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): None. Happy to say so!!
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release