ZVB-30534-75745
5 vaccinations
8 coded responses
57 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-22
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Condition aggravated, Inflammation, Respiratory tract congestion, Sinusitis, Upper-airway cough syndrome, Urticaria — Feeling: GoodFree text: Small, hive-like bumps on forearm and, perhaps upper leg, right side.Aggravated sinusitis, post nasal drip & chest congestion or inflamation, all of which I've had cyclically for years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Chills, sweats, joint aches, headache, fatigue--BUT, occurred after followup so shingles vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue, Respiratory tract congestion — Feeling: GoodFree text: Fatigue, congestion, joint painsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-11-07
Survey response — day 14, dose 3MedDRA: Condition aggravated, Lacrimation increased, Nasal congestion, Pre-existing disease, Sinus headache, Sneezing — Feeling: GoodFree text: Stuffy nose, sinus headaches, watery eyes, sneezing, increased apnea/hypopnea per CPAP readoutMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-20
- 2021-11-27
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Asthma, Condition aggravated, Pre-existing disease, Sinus disorder, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus flare up nonstop sneezing couple days ago, COPD/asthma symptoms worse, improving dailyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Survey response — 3 months, dose 3MedDRA: Synovial cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bakers Cyst left kneeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-25
- 2022-04-26
-
2022-05-24
Dose 4 — Moderna
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint painsAdult check-in
- 2022-05-26
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-08
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-06
- 2022-08-23
-
2022-10-10
Dose 5 — Moderna
- 2022-10-10
- 2022-10-11
-
2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2022-10-18
Health check-in — day 7, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-24
Survey response — day 14, dose 5MedDRA: Arthralgia, Condition aggravated, Injury, Joint injury, Pre-existing disease, Rhinorrhoea, Sneezing, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Sneezing, runny nose, eyes, lot of sneezing Joint pains & worsening of prior groin or hip injury · Healthcare visit (other): Advised to see Dr for eval of hip/groin injury-appt later todayMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-26
- 2022-11-02
- 2022-11-07
- 2022-11-15
- 2022-11-21
- 2023-01-09
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2023-04-10
Survey response — 6 months, dose 5MedDRA: Anti-myelin-associated glycoprotein associated pol, Dyspnoea, Hypertension, Office visit, Radicular pain, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-10
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-11
- 2023-04-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — day 28, dose 2
Symptoms: Small, hive-like bumps on forearm and, perhaps upper leg, right side.Aggravated sinusitis, post nasal drip & chest congestion or inflamation, all of which I've had cyclically for years.
Release 5 — day 35, dose 2
Symptoms: Chills, sweats, joint aches, headache, fatigue--BUT, occurred after followup so shingles vaccine.
Release 9 — 6 months, dose 2
Symptoms: Fatigue, congestion, joint pains
Release 10 — day 14, dose 3
Symptoms: Stuffy nose, sinus headaches, watery eyes, sneezing, increased apnea/hypopnea per CPAP readout
Release 10 — day 42, dose 3
Symptoms: Sinus flare up nonstop sneezing couple days ago, COPD/asthma symptoms worse, improving daily
Release 11 — 3 months, dose 3
Symptoms: Bakers Cyst left knee
Release 12 — day 14, dose 5
Symptoms: Sneezing, runny nose, eyes, lot of sneezing Joint pains & worsening of prior groin or hip injury
Healthcare visit (other): Advised to see Dr for eval of hip/groin injury-appt later today
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 | Injury | · | · | ✓ |
| HCVO | Joint injury | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Anti-myelin-associated glycoprotein associated pol | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Radicular pain | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Synovial cyst | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release