2QY-15812-09129
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 346 / FL
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Hallucination, auditory — Feeling: GoodFree text: After getting my 1st vaccination, I went to the bathroom as did my wife before our drive home. I came out before she did and as Zi waited for her, I heard her loudly and clearly call my name:â€(b)(6)â€!I answered “Yesâ€! There was no reply. I went to the woman's bathroom door and asked if she was alright. No answer. She eventually came out and zI asked if she had called me. She said no. Either the vaccine caused a hallucinating sound effect or God was trying to get my attention. Other than that, I'm fine. Thought you could use a smile.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-12
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-22
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: I tested positive for Covid on 4/18/22MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): After getting my 1st vaccination, I went to the bathroom as did my wife before our drive home. I came out before she did and as Zi waited for her, I heard her loudly and clearly call my name:â€(b)(6)â€!I answered “Yesâ€! There was no reply. I went to the woman's bathroom door and asked if she was alright. No answer. She eventually came out and zI asked if she had called me. She said no. Either the vaccine caused a hallucinating sound effect or God was trying to get my attention. Other than that, I'm fine. Thought you could use a smile.
redacted (b)(6)
Release 4 — day 7, dose 2
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Release 11 — 6 months, dose 3
Symptoms: I tested positive for Covid on 4/18/22
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Hallucination, auditory | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release