36Z-45151-48467
1 vaccination
1 coded response
3 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Survey response — day 7, dose 1MedDRA: Dyspnoea, SARS-CoV-2 test negative, Wheezing — Feeling: Poor · Site: Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: Any exertion such as walking climbing stairs, or standing for long periods I develop shortness of breath and hear a wheezing in my upper chest and throat. This only happens when lying down. All my vital signs when visiting Drs. Office yesterday were within normal range. Lungs appeared to be clear. I was given a COVID-19 Test with results within 90 min. Results came back Negative. No signs of Covid-19 infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Any exertion such as walking climbing stairs, or standing for long periods I develop shortness of breath and hear a wheezing in my upper chest and throat. This only happens when lying down. All my vital signs when visiting Drs. Office yesterday were within normal range. Lungs appeared to be clear. I was given a COVID-19 Test with results within 90 min. Results came back Negative. No signs of Covid-19 infection.
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 |
|---|---|---|---|---|
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release