ZYZ-18265-28389
5 vaccinations
9 coded responses
31 check-ins
9 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
- 2021-02-09
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: A sharp pain across my back as if I were stabbed. The pain hit at 8am and is starting to fade now at 4:30pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Still have back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-09
Dose 2 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 2MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Very tired. · Healthcare visit (other): AppointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain, Pain in extremity — Feeling: GoodFree text: Shot Arm started hurting again yesterday with a soar throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-06-08
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2021-09-07
Survey response — 6 months, dose 2MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair · 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: Sore throat, stuffy nose, coughing fitsMedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-02
Dose 3 — Moderna
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2022-03-11
Survey response — 12 months, dose 2MedDRA: Abscess limb, Hospitalisation — 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 · HospitalizationFree text: Had two giant abscesses in my right leg. Was in (b)(6) hospital 3 weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Report sent to call center — 12 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 prHospitalization · 1 call case(s)
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2022-03-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-25
Dose 4 — Moderna
- 2022-04-29
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2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion — Feeling: Good · HeadacheFree text: Stuffy nose in the morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
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2022-05-25
Survey response — day 28, dose 4MedDRA: Crohn's disease, Fatigue, Pre-existing disease — Feeling: FairFree text: Very tired. Crohns attack from time to time.MedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Survey response — day 35, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for Covid!MedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-07-25
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2022-10-22
Dose 5 — Moderna
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-02 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-10-22 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): A sharp pain across my back as if I were stabbed. The pain hit at 8am and is starting to fade now at 4:30pm
Systemic reaction (other): Still have back pain.
Release 6 — day 21, dose 2
Release 7 — day 28, dose 2
Symptoms: Shot Arm started hurting again yesterday with a soar throat.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, stuffy nose, coughing fits
Release 11 — 12 months, dose 2
Symptoms: Had two giant abscesses in my right leg. Was in (b)(6) hospital 3 weeks.
redacted (b)(6)
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Stuffy nose in the morning.
Release 11 — day 28, dose 4
Symptoms: Very tired. Crohns attack from time to time.
Release 11 — day 35, dose 4
Symptoms: I tested positive for Covid!
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abscess limb | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release