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ZVJ-15590-78136

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
810 / CO
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Registered in v-safe
  2. 2021-04-17
    Dose 1 — Moderna
  3. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-15
    Dose 2 — Moderna
  11. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I smell sick. my breath is bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper, Fatigue, Renal pain, Throat lesion, Urine odour abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: bad gut pain, dots on my throat. kidneys hurt. pee stinks. exhausted.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Hypersomnia, Immunisation reaction, Malaise, Palpitations, Renal pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Extreme fatigue. I've been very sick since getting the shot. My heart is racing. My kidneys are in a lot of pain. I've slept 12 hours *just last night*. I slept most of the day Sunday (like 20 hours sleeping). THESE ARE SEVERE SYMPTOMS. I was 100% for the shot before getting mine. Now I am telling people not to get it because of how extreme the side affects are.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-22
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-05-29
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-05
    Survey response — day 21, dose 2
    MedDRA: Angina pectoris, Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Heart pain. Joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-12
    Health check-in — day 28, dose 2
    Feeling: Poor
    Adult check-in
  19. 2021-06-19
    Health check-in — day 35, dose 2
    Feeling: Poor
    Adult check-in
  20. 2021-06-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-08-14
    Survey response — 3 months, dose 2
    MedDRA: Cardiac disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My heart is messed up.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-15Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): I smell sick. my breath is bad.

2021-05-19

Systemic reaction (other): bad gut pain, dots on my throat. kidneys hurt. pee stinks. exhausted.

2021-05-20

Systemic reaction (other): Extreme fatigue. I've been very sick since getting the shot. My heart is racing. My kidneys are in a lot of pain. I've slept 12 hours *just last night*. I slept most of the day Sunday (like 20 hours sleeping). THESE ARE SEVERE SYMPTOMS. I was 100% for the shot before getting mine. Now I am telling people not to get it because of how extreme the side affects are.

Release 8 — day 21, dose 2

2021-06-05

Symptoms: Heart pain. Joint pain.

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: My heart is messed up.

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
SDAngina pectoris ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCardiac disorder ✓ · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓
SROThroat lesion ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROUrine odour abnormal ✓ ✓ ✓

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