ZZS-14331-21735
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R94-59852-94397
Other · Female · 2022-01-31
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-27
Dose 2 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 42, dose 2MedDRA: Arthralgia, Back pain, Headache, Wheezing — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache and wheezing. Needed to use inhaler. Joint pain with significant low back pain. The symptoms the last couple days arent related to the vaccine. Left over steroids will do the trick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-07-28
-
2022-01-31
Survey response — 12 months, dose 2MedDRA: Arthralgia, Burning sensation, Cough, Headache, Malaise, Oropharyngeal pain, Paranasal sinus discomfort, Photophobia, Pyrexia, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Covid symptoms. Fever. Joint pain. HEADACHE! Congestion. Sensation lung burning. Sore throat. Cough. Light sensitivity. Sinus pressure. · Healthcare visit (other): Currently in the process of reaching out. I guess monoclonal antibodies are nextMedDRA releases: 2024-11 · check-in free text available
-
2022-01-31
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Release 5 — day 42, dose 2
Symptoms: Headache and wheezing. Needed to use inhaler. Joint pain with significant low back pain. The symptoms the last couple days arent related to the vaccine. Left over steroids will do the trick.
Release 11 — 12 months, dose 2
Symptoms: Covid symptoms. Fever. Joint pain. HEADACHE! Congestion. Sensation lung burning. Sore throat. Cough. Light sensitivity. Sinus pressure.
Healthcare visit (other): Currently in the process of reaching out. I guess monoclonal antibodies are next
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Photophobia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release