ZUA-79083-34449
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
-
2021-01-14
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Ache in muscle around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Aching at site of injection, felt in all muscle groups within ~2" of injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-17
Dose 2 — Moderna
-
2021-02-17
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Chills, Muscle or body achesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Chapped lips, Lip dry — Feeling: GoodFree text: Minor chapping/drying around corner of upper lip. Both sides, from approximately in front of canines to corner of mouth. Not associated with any change in lifestyle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-18
-
2021-11-04
Dose 3 — Moderna
- 2022-02-19
-
2022-06-16
Dose 4 — Moderna
-
2022-09-16
Survey response — 3 months, dose 4MedDRA: Brain fog, COVID-19, Chills, Headache, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID positive, July 25th. Brain fog, muscle aches, sore throat, headache, fever, chillls.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive for COVID , July 25thMedDRA releases: 2024-11 · check-in free text available
- 2023-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-06-16 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Ache in muscle around injection site.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Aching at site of injection, felt in all muscle groups within ~2" of injection site.
Release 8 — 3 months, dose 2
Symptoms: Minor chapping/drying around corner of upper lip. Both sides, from approximately in front of canines to corner of mouth. Not associated with any change in lifestyle.
Release 12 — 3 months, dose 4
Symptoms: COVID positive, July 25th. Brain fog, muscle aches, sore throat, headache, fever, chillls.
Release 12 — 6 months, dose 4
Symptoms: Positive for COVID , July 25th
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 | Brain fog | · | · | ✓ |
| SD | Chapped lips | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lip dry | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release