ZVH-89686-23013
3 vaccinations
3 coded responses
38 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 724 / AR
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Q5L-22850-94268
Child or adolescent in my care · Male · 2021-07-27
YZ7-72402-30287
Child or adolescent in my care · Male · 2021-07-27
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-02
Survey response — day 21, dose 1MedDRA: Hypoaesthesia, Tendonitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On my left side (where my shot was administered) I have severe what feels like tendonitis in my left elbow. Also have numbness on my skin on my left foot. I have had no trauma or injury to account for these changes. Issues are only left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Dose 2 — Moderna
-
2021-03-09
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Tendonitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: My first shot was in my left arm. I developed tendonitis in my left elbow, and had no other injury or exertion for it to occur. Also had numbness in my left foot, not right. Not sure if any of this is attributable to my first vaccine, but it all only occurred on my left side where I received the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-12
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-10-28
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Headache, Malaise, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Sick for 3 straight weeks. Cough, congestion, fatigue, and headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-28 | Moderna | Flu |
Free text
Release 4 — day 21, dose 1
Symptoms: On my left side (where my shot was administered) I have severe what feels like tendonitis in my left elbow. Also have numbness on my skin on my left foot. I have had no trauma or injury to account for these changes. Issues are only left side.
Release 5 — day 0, dose 2
Systemic reaction (other): My first shot was in my left arm. I developed tendonitis in my left elbow, and had no other injury or exertion for it to occur. Also had numbness in my left foot, not right. Not sure if any of this is attributable to my first vaccine, but it all only occurred on my left side where I received the first shot.
Release 11 — 3 months, dose 3
Symptoms: Sick for 3 straight weeks. Cough, congestion, fatigue, and headache.
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Tendonitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release