ZY5-85861-86435
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 380 / TN
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Headache I had before the shot became much worse several hours after the shot. The headache continued until about 2 hours ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pain in extremity — Feeling: GoodFree text: Soreness and red spot on armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · 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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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a cold, sinus infectionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-11-07
Survey response — 6 months, dose 2MedDRA: Heart rate abnormal, Heart rate increased, Pre-existing disease — Feeling: GoodFree text: Heart rate seems to get faster more easily. Not sure if associated with vaccine, or it has to do with ADD medicines. Or could the cause be from when I contracted what I believe to be COVID in March of 2020.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2022-05-07
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Had COVID back in JanuaryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Headache I had before the shot became much worse several hours after the shot. The headache continued until about 2 hours ago.
Systemic reaction (other): Soreness and red spot on arm
Release 9 — 3 months, dose 2
Symptoms: Had a cold, sinus infection
Release 10 — 6 months, dose 2
Symptoms: Heart rate seems to get faster more easily. Not sure if associated with vaccine, or it has to do with ADD medicines. Or could the cause be from when I contracted what I believe to be COVID in March of 2020.
Release 11 — 12 months, dose 2
Symptoms: Had COVID back in January
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 | COVID-19 | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release