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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

  1. 2021-04-11
    Dose 1 — Moderna
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  4. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, Itching
    Free text: Lymphnodes in my left arm pit are swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-18
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy, Vision blurred — Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Free text: Lymphnodes in my armpit are still swollen and my vision in left eye blurry
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-25
    Survey response — day 14, dose 1
    MedDRA: Eye disorder — Feeling: Fair
    Free 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
  10. 2021-05-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-06
    Dose 2 — Moderna
  12. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Joint pains
    Adult check-in
  13. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea
    Adult check-in
  14. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Diarrhea
    Adult check-in
  15. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-05-06
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Malaise, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  24. 2022-05-06
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2022-05-09

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Moderna
22021-05-06Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Lymphnodes in my left arm pit are swollen

Release 7 — day 7, dose 1

2021-04-18

Systemic reaction (other): Lymphnodes in my armpit are still swollen and my vision in left eye blurry

Release 7 — day 14, dose 1

2021-04-25

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

2022-05-06

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

FieldPreferred term2021-092023-042024-11
HCVORespiratory disorder · · ✓
SDCOVID-19 · · ✓
SDEye disorder ✓ ✓ ✓
SDMalaise · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release