ZUV-16609-63832
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 488 / MI
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Dose 1 — Moderna
-
2021-04-13
Registered in v-safe
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, ItchingFree text: Lymphnodes in my left arm pit are swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — day 7, dose 1MedDRA: Lymphadenopathy, Vision blurred — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Lymphnodes in my armpit are still swollen and my vision in left eye blurryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 14, dose 1MedDRA: Eye disorder — Feeling: FairFree text: My left eye is having trouble, I am having a hard time with my eye. I have made an appointment to see a doctor about it. My vaccine was in my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
-
2021-05-06
Dose 2 — Moderna
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · DiarrheaAdult check-in
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · DiarrheaAdult check-in
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-11-04
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2022-05-06
Survey response — 12 months, dose 2MedDRA: COVID-19, Malaise, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: After my booster most of my covid symptoms came back, I contracted covid after my second shit. · Healthcare visit (other): Had to seek help for breathing problems.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lymphnodes in my left arm pit are swollen
Release 7 — day 7, dose 1
Systemic reaction (other): Lymphnodes in my armpit are still swollen and my vision in left eye blurry
Release 7 — day 14, dose 1
Symptoms: My left eye is having trouble, I am having a hard time with my eye. I have made an appointment to see a doctor about it. My vaccine was in my left arm.
Release 11 — 12 months, dose 2
Symptoms: After my booster most of my covid symptoms came back, I contracted covid after my second shit.
Healthcare visit (other): Had to seek help for breathing problems.
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 |
|---|---|---|---|---|
| HCVO | Respiratory disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye disorder | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release