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
-
2021-04-17
Registered in v-safe
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2021-04-17
Dose 1 — Moderna
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2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-26
- 2021-05-03
- 2021-05-08
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2021-05-15
Dose 2 — Moderna
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: I smell sick. my breath is bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-22
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-29
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2021-06-05
Survey response — day 21, dose 2MedDRA: Angina pectoris, Arthralgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Heart pain. Joint pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-06-19
- 2021-06-26
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2021-08-14
Survey response — 3 months, dose 2MedDRA: Cardiac disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My heart is messed up.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I smell sick. my breath is bad.
Systemic reaction (other): bad gut pain, dots on my throat. kidneys hurt. pee stinks. exhausted.
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
Symptoms: Heart pain. Joint pain.
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Angina pectoris | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Throat lesion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urine odour abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release