2EG-11109-88305
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 631 / MO
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-20
Dose 2 — Moderna
-
2021-04-21
Registered in v-safe
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: Ageusia, Anosmia, COVID-19, Lower respiratory tract infection, Nasopharyngitis, Office visit, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: In the middle of June, I contracted a bad head and chest cold. Four days after the onset of symptoms, I lost my sense of taste and smell. I have since regained some of it, but only to a small degree. · Healthcare visit (other): Received a negative result on dr-prescribed COVID test on 6-22-2021, but at 7/8/2021 follow up visit with primary physician was told that, based on symptoms and likely improperly conducted rapid-test, that I had likely contracted COVID variant.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
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)
- 2021-07-27
- 2021-07-30
- 2021-10-19
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Headache, Hyposmia, Nasopharyngitis — Feeling: GoodFree text: Continue to have impaired sense of smell. May have been infected againhad a very short-lived cold that was preceded by a headache, but didn't get tested. My adult son who lives with us subsequently tested positive.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: In the middle of June, I contracted a bad head and chest cold. Four days after the onset of symptoms, I lost my sense of taste and smell. I have since regained some of it, but only to a small degree.
Healthcare visit (other): Received a negative result on dr-prescribed COVID test on 6-22-2021, but at 7/8/2021 follow up visit with primary physician was told that, based on symptoms and likely improperly conducted rapid-test, that I had likely contracted COVID variant.
Release 11 — 12 months, dose 2
Symptoms: Continue to have impaired sense of smell. May have been infected againhad a very short-lived cold that was preceded by a headache, but didn't get tested. My adult son who lives with us subsequently tested positive.
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 | COVID-19 | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release