ZQX-33761-42595
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 895 / NV
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Sleep disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Issues sleeping since I got the vaccine. Wake several times during night. Could be entirely unrelated, but wanted to share in case it is commonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-02
Survey response — day 21, dose 2MedDRA: Blood glucose increased, Insomnia, Pre-existing disease — Feeling: GoodFree text: I have not found the right place to report this, but wanted to share 2 things; I am a Type-I diabetic. Blood sugars have been running 20-60 pts higher for the last six weeks (since first dose). Sleep has been irregular during this time as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Abdominal pain, Gastrointestinal disorder — Feeling: FairFree text: Upset stomach, digestive issues, and (at times) abdominal pain. Been going on for three weeks. Mild until the last seven days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-08-12
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Issues sleeping since I got the vaccine. Wake several times during night. Could be entirely unrelated, but wanted to share in case it is common
Release 4 — day 21, dose 2
Symptoms: I have not found the right place to report this, but wanted to share 2 things; I am a Type-I diabetic. Blood sugars have been running 20-60 pts higher for the last six weeks (since first dose). Sleep has been irregular during this time as well.
Release 5 — day 35, dose 2
Symptoms: Upset stomach, digestive issues, and (at times) abdominal pain. Been going on for three weeks. Mild until the last seven days.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release