ZZP-33629-59074
5 vaccinations
5 coded responses
50 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 627 / IL
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-02-17
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Poor · Nausea, DiarrheaFree text: felt better after eating proteinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Influenza like illness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Felt flu like symptoms beginning but after peak seems to be subsiding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: eyesight anomaly of previous originMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-27
-
2022-03-31
Dose 4 — Moderna
- 2022-04-18
- 2022-04-21
- 2022-04-30
- 2022-05-05
-
2022-05-12
Survey response — day 42, dose 4MedDRA: Arthralgia, Pre-existing disease — Feeling: FairFree text: Right shoulder ache...joint pain I've had before.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
-
2022-09-15
Dose 5 — Pfizer-BioNTech
-
2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2022-09-22
- 2022-10-01
- 2022-10-06
- 2022-10-13
- 2022-10-21
- 2022-10-27
-
2022-12-15
Survey response — 3 months, dose 5MedDRA: Arthralgia, Pre-existing disease, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Wasnt paying attention because at my age pain happens. I developed a persistent shoulder pain in my rught shoulder that really ached. I used Tiger Balm then Volterine which deadened the pain, but mustard and tumeric oils seem to be correcting it.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | No |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): felt better after eating protein
Release 4 — day 14, dose 1
Symptoms: Felt flu like symptoms beginning but after peak seems to be subsiding.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): eyesight anomaly of previous origin
Release 11 — day 42, dose 4
Symptoms: Right shoulder ache...joint pain I've had before.
Release 12 — 3 months, dose 5
Symptoms: Wasnt paying attention because at my age pain happens. I developed a persistent shoulder pain in my rught shoulder that really ached. I used Tiger Balm then Volterine which deadened the pain, but mustard and tumeric oils seem to be correcting it.
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 | Arthralgia | · | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release