ZRU-14598-09878
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
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2021-03-18
Survey response — day 0, dose 1MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · ChillsFree text: Slight heavy chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Slight lymph swelling on the right of the neck that is now gone. Dry cough that is also now gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-03
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2021-04-14
Dose 2 — Moderna
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-16
- 2021-04-17
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2021-04-21
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-28
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2021-05-12
Survey response — day 28, dose 2MedDRA: Gastric disorder — Feeling: FairFree text: New stomach issues. Think it is an ulcer. Doctor says nothing to worry about.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 35, dose 2MedDRA: Neuralgia — Feeling: FairFree text: Searing nerve pain in my back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 42, dose 2MedDRA: Cardiac disorder — Feeling: FairFree text: Some odd heart issues. They have since been decreasing in severity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-16
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Asthma, Scar pain, Surgery — Feeling: GoodFree text: Athsma and scar tissue pain from a surguryMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Consistent nausea every few weeks. Headaches from medium to severe off and on making it hard to tell if it is allergies or covid.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Slight heavy chest
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight lymph swelling on the right of the neck that is now gone. Dry cough that is also now gone.
Release 8 — day 28, dose 2
Symptoms: New stomach issues. Think it is an ulcer. Doctor says nothing to worry about.
Release 8 — day 35, dose 2
Symptoms: Searing nerve pain in my back.
Release 8 — day 42, dose 2
Symptoms: Some odd heart issues. They have since been decreasing in severity.
Release 10 — 6 months, dose 2
Symptoms: Athsma and scar tissue pain from a surgury
Release 11 — 12 months, dose 2
Symptoms: Consistent nausea every few weeks. Headaches from medium to severe off and on making it hard to tell if it is allergies or 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthma | · | · | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Scar pain | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release