3HZ-28015-97419
5 vaccinations
4 coded responses
47 check-ins
4 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 28, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose that has been going for a little over a month, i think it is tied to the vaccine as i haven't had this before if i didn't have a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-05-01
- 2021-06-18
- 2021-09-17
-
2021-10-27
Dose 3 — Pfizer-BioNTech
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain · Headache, Fatigue or tirednessFree text: My head feels like i have a cold but no drainageMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: PainFree text: A little dizzyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Cough, Malaise, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Deep cough, sinus drainage & stuffiness. Very sick for one week, allow recovery took about 3 more weeks. One family member tested positive for human metapnuemovirus. 3 family members tested negative for Covid (5 family members sick with same thing)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-13
Dose 4 — Moderna
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
-
2022-09-11
Dose 5 — Moderna
- 2022-10-06
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-09-11 | Moderna | No |
Free text
Release 7 — day 28, dose 2
Symptoms: Runny nose that has been going for a little over a month, i think it is tied to the vaccine as i haven't had this before if i didn't have a cold.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My head feels like i have a cold but no drainage
Systemic reaction (other): A little dizzy
Release 11 — 3 months, dose 3
Symptoms: Deep cough, sinus drainage & stuffiness. Very sick for one week, allow recovery took about 3 more weeks. One family member tested positive for human metapnuemovirus. 3 family members tested negative for Covid (5 family members sick with same thing) cut off by CDC
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 | Cough | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release