ZUD-31970-39552
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 140 / NY
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain — Feeling: GoodFree text: Unusual brief pain in eyes when sun came out on snow. Lasted less than a minute.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Survey response — day 0, dose 2MedDRA: Chills, Peripheral coldness — Feeling: Good · Chills, Joint pains, Muscle or body achesFree text: Chills are only coldness I'm my handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site pain, Joint stiffness, Peripheral coldness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Slight muscle pain at injection site continues but not bad. Yesterday about 8 hours after the injection I had pain and stiffness in my joints and very cold hands and feet. But it only lasted about 2.5 hours. Otherwise have felt fine since thenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Cough — Feeling: FairFree text: Chest cough overnight with chest soreness. Better today. Don't think it is Covid, and it has improved today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: Chest coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Chest coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Chest coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-01
Dose 4 — Moderna
- 2022-04-27
- 2022-04-27
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-08
Dose 5 — ModernaCo-administered: Flu
- 2022-10-02
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-08 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Unusual brief pain in eyes when sun came out on snow. Lasted less than a minute.
Release 4 — day 0, dose 2
Systemic reaction (other): Chills are only coldness I'm my hands
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight muscle pain at injection site continues but not bad. Yesterday about 8 hours after the injection I had pain and stiffness in my joints and very cold hands and feet. But it only lasted about 2.5 hours. Otherwise have felt fine since then
Systemic reaction (other): Chest cough overnight with chest soreness. Better today. Don't think it is Covid, and it has improved today.
Systemic reaction (other): Chest cough
Systemic reaction (other): Chest cough
Release 4 — day 7, dose 2
Systemic reaction (other): Chest cough
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release