2NU-20328-09208
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 488 / MI
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Dose 1 — Moderna
-
2021-04-04
Registered in v-safe
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
-
2021-04-24
Survey response — day 21, dose 1MedDRA: Cough, Self-medication — Feeling: GoodFree text: A cough, using Mucinex, showing some improvement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Dose 2 — Moderna
-
2021-05-10
Survey response — day 7, dose 2MedDRA: Hospitalisation, SARS-CoV-2 test positive — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Systemic reaction (other): I tested positive for Covid on Monday 5-3-2021 · Healthcare visit (other): I was released from hospital on Sunday 5-9-2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-08
- 2021-06-11
-
2021-06-11
Callback requested for12:00PM ET
-
2021-06-12
Survey response — day 42, dose 2MedDRA: Productive cough — Feeling: GoodFree text: A difficult, semi,productive coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-31
Survey response — 3 months, dose 2MedDRA: Brain fog, Fall, Headache, Hospitalisation, Pain, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: After getting up and walking about 15 feet, a pain starts in my right temple area and shoots up into my brain, a fog rises over my eyes, my brain is swirling and i fall down. · Healthcare visit (other): I was in (b)(6) Hospital for 5 days and released with no diagnosisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-20
Call successfulDoes not wish to fill out VAERS report
- 2021-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 21, dose 1
Symptoms: A cough, using Mucinex, showing some improvement.
Release 8 — day 7, dose 2
Systemic reaction (other): I tested positive for Covid on Monday 5-3-2021
Healthcare visit (other): I was released from hospital on Sunday 5-9-2021
Release 9 — day 42, dose 2
Symptoms: A difficult, semi,productive cough
Release 9 — 3 months, dose 2
Symptoms: After getting up and walking about 15 feet, a pain starts in my right temple area and shoots up into my brain, a fog rises over my eyes, my brain is swirling and i fall down.
Healthcare visit (other): I was in (b)(6) Hospital for 5 days and released with no diagnosis
redacted (b)(6)
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | · | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release