ZQS-70505-02741
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 495 / MI
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
- 2020-12-30
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Blood pressure increased, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: The day of receiving the 2nd dose my blood pressure went way up and i had tingly on my face and limbs. I was given Benadryl and the BP came down. It was reported via veersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Musculoskeletal chest pain, Office visit — Feeling: GoodFree text: Left-sided rib pain. Chiropractor is attempting to alleviateMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-30
Dose 3 — Moderna
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 21, dose 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: I have a cold. Cough. Runny nose. Sneazing. I had a negative COVID rapid test on 11/15. I did a PCR test on 11/19 and the results are pending.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Cough, SARS-CoV-2 test negative — Feeling: FairFree text: Still have a cough. No fever. COVID antigen and PCR tests were both negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2022-01-31
- 2022-04-30
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): The day of receiving the 2nd dose my blood pressure went way up and i had tingly on my face and limbs. I was given Benadryl and the BP came down. It was reported via veers
Release 9 — 6 months, dose 2
Symptoms: Left-sided rib pain. Chiropractor is attempting to alleviate
Release 10 — day 21, dose 3
Symptoms: I have a cold. Cough. Runny nose. Sneazing. I had a negative COVID rapid test on 11/15. I did a PCR test on 11/19 and the results are pending.
Release 10 — day 28, dose 3
Symptoms: Still have a cough. No fever. COVID antigen and PCR tests were both negative.
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 | Cough | · | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release