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38B-10927-01593

4 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
846 / UT
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-15
    Dose 2 — Moderna
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Prostatomegaly — Feeling: Good · Site: Pain, Redness · Headache, Joint pains
    Free text: I wanted to say that w/ both injections I had the following two symptoms: 1. A slight persistent cough. 2. Trouble urinating like having a super enlarged prostate. Im currently taking tamsulosin due to reduced iron flow because of an enlarged prostate. Both symptoms lasted only a couple days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Pre-existing disease, Urine flow decreased, Vaccine positive rechallenge — Feeling: Good
    Free text: With both my first and second vaccine injections, I experienced a light yet persistent cough for probably 3 to 4 days afterwards. Its as if my body recognized the Covid virus from when I was sick and automatically put up a coughing defense mechanism. Also, for about two days after my vaccine injection, my urine flow was significantly constricted, similar to when I had Covid. (Im currently taking Tamsulosin due to an enlarged prostate.)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Still a bit of a persistent and infrequent coughing throughout the day. It should be noted I am going to the gym and doing 40 minute cardio workouts as I was previous to my vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-13
    Survey response — day 28, dose 2
    MedDRA: Cough, Dyspnoea — Feeling: Good
    Free text: I have just a slight bit of a lingering cough and feel a very slight shortness of breath in my lungs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-27
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: I seem to have a slight shortness of breath that I dont think I had several weeks ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: COVID-19, Cough, Lung disorder — Feeling: Good
    Free text: I seem to have a residual slight cough. It's probably due to some of the glass lung affects of having Covid.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-13
    Dose 3 — Moderna
  20. 2022-04-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-07-06
    Dose 4 — Moderna
  22. 2022-07-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chills, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday, the day after my shot, I had chills, fever, body aches, and vomiting
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-07-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2022-07-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2022-07-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-07-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-07-13
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-07-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-07-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-08-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2023-01-04
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-15Moderna
32021-12-13Moderna No
42022-07-06Moderna No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): I wanted to say that w/ both injections I had the following two symptoms: 1. A slight persistent cough. 2. Trouble urinating like having a super enlarged prostate. Im currently taking tamsulosin due to reduced iron flow because of an enlarged prostate. Both symptoms lasted only a couple days.

2021-04-20

Systemic reaction (other): With both my first and second vaccine injections, I experienced a light yet persistent cough for probably 3 to 4 days afterwards. Its as if my body recognized the Covid virus from when I was sick and automatically put up a coughing defense mechanism. Also, for about two days after my vaccine injection, my urine flow was significantly constricted, similar to when I had Covid. (Im currently taking Tamsulosin due to an enlarged prostate.)

2021-04-21

Systemic reaction (other): Still a bit of a persistent and infrequent coughing throughout the day. It should be noted I am going to the gym and doing 40 minute cardio workouts as I was previous to my vaccination.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: I have just a slight bit of a lingering cough and feel a very slight shortness of breath in my lungs

Release 8 — day 42, dose 2

2021-05-27

Symptoms: I seem to have a slight shortness of breath that I dont think I had several weeks ago.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I seem to have a residual slight cough. It's probably due to some of the glass lung affects of having Covid.

Release 12 — days 1–6 daily, dose 4

2022-07-08

Systemic reaction (other): Yesterday, the day after my shot, I had chills, fever, body aches, and vomiting

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 ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDyspnoea ✓ ✓ ✓
SDLung disorder · · ✓
SROChills · · ✓
SROCough ✓ ✓ ✓
SROPain · · ✓
SROPre-existing disease ✓ ✓ ✓
SROProstatomegaly ✓ ✓ ✓
SROPyrexia · · ✓
SROUrine flow decreased ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓
SROVomiting · · ✓

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