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2PA-30151-18822

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
424 / KY
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Pain, Pleurisy — Feeling: Good
    Free text: Slight dull pain, middle right back like pleurisy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Inhalation therapy, Pleurisy — Feeling: Good
    Free text: Pleurisy symptoms vanished during spiritual inspiration; deep inhalation ensued.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — day 7, dose 1
    MedDRA: Chronic obstructive pulmonary disease, Dyspnoea, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: Shortness of breath, only when Im busy in the cold. I have COPD.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-18
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea, Sensitivity to weather change — Feeling: Good
    Free text: Breathing became increasingly difficult in extreme cold conditions shoveling snow. Today with warmer temperature quickly moving back in the direction of feeling very good, especially with inspiration, i. e.; spiritual growth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-04
    Dose 2 — Moderna
  9. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Headache, Muscle or body aches
    Free text: The symptoms passed early in the day and I feel great!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: The headache is only in the wee hours of the morning and may be due to change in medicinal regimen. Headaches have never bothered me before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-18
    Survey response — day 14, dose 2
    MedDRA: Dyspnoea exertional, Productive cough — Feeling: Good
    Free text: I have had some phlegm in the throat most of the week, and felt somewhat breathless when active, especially during the past two or three days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Cough, Productive cough, Rhinorrhoea, Self-medication — Feeling: Good
    Free text: Phlegm, coughing, nasal dripping for two previous days. Feel better now after two doses of Claritin-D.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-15
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Shirt if breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-03
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Occasionally, especially on dark rainy days, I am very short of breath like the past three days. Then the sun breaks through for an hour and as I bask in the sunshine my breathing improves as if at the receiving end of another miracle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-09-04
    Survey response — 6 months, dose 2
    MedDRA: Increased upper airway secretion, Pre-existing disease, Throat clearing — Feeling: Good
    Free text: Phlegm accumulates in the back of the throat to be cleared several times each day and night. But COPD had been diagnosed in the past, and double pneumonia occurred 4 1/2 years ago.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2022-03-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Slight dull pain, middle right back like pleurisy

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Pleurisy symptoms vanished during spiritual inspiration; deep inhalation ensued.

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Shortness of breath, only when Im busy in the cold. I have COPD.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Breathing became increasingly difficult in extreme cold conditions shoveling snow. Today with warmer temperature quickly moving back in the direction of feeling very good, especially with inspiration, i. e.; spiritual growth.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): The symptoms passed early in the day and I feel great!

2021-03-07

Systemic reaction (other): The headache is only in the wee hours of the morning and may be due to change in medicinal regimen. Headaches have never bothered me before.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: I have had some phlegm in the throat most of the week, and felt somewhat breathless when active, especially during the past two or three days.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Phlegm, coughing, nasal dripping for two previous days. Feel better now after two doses of Claritin-D.

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Shirt if breath

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Occasionally, especially on dark rainy days, I am very short of breath like the past three days. Then the sun breaks through for an hour and as I bask in the sunshine my breathing improves as if at the receiving end of another miracle.

Release 9 — 6 months, dose 2

2021-09-04

Symptoms: Phlegm accumulates in the back of the throat to be cleared several times each day and night. But COPD had been diagnosed in the past, and double pneumonia occurred 4 1/2 years ago.

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDDyspnoea exertional ✓ ✓ ✓
SDIncreased upper airway secretion ✓ · ✓
SDPre-existing disease ✓ · ✓
SDProductive cough ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSensitivity to weather change ✓ ✓ ✓
SDThroat clearing ✓ · ✓
SROAdverse reaction ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChronic obstructive pulmonary disease ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInhalation therapy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPleurisy ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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