464-32976-48502
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 812 / CO
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Moderna
- 2021-01-05
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dry mouth — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tirednessFree text: Dry mouth, slightly dizzy when I woke upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Dry cough (infrequent)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Productive cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Occasional cough for the last few days. Infrequent, but slightly productiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — day 7, dose 1MedDRA: Cough, Productive cough — Feeling: Good · Muscle or body achesFree text: Slight occasional cough, some phlegm production.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — day 14, dose 1MedDRA: Cough, Productive cough — Feeling: GoodFree text: Not new, or really worsening, but this cough has been very persistent. Mostly dry, intermittent, but first thing in the mornings I have a lot of back-of-throat phlegmy stuff. Been persistent since injection of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
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2021-02-04
Dose 2 — Moderna
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Diarrhea · Be unable to do your normal daily activitiesFree text: dry mouth constantly, regardless of fluid intake.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-08-09
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth, slightly dizzy when I woke up
Systemic reaction (other): Dry cough (infrequent)
Systemic reaction (other): Occasional cough for the last few days. Infrequent, but slightly productive
Release 2 — day 7, dose 1
Systemic reaction (other): Slight occasional cough, some phlegm production.
Release 2 — day 14, dose 1
Symptoms: Not new, or really worsening, but this cough has been very persistent. Mostly dry, intermittent, but first thing in the mornings I have a lot of back-of-throat phlegmy stuff. Been persistent since injection of vaccine
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): dry mouth constantly, regardless of fluid intake.
Release 11 — 12 months, dose 2
Symptoms: Sinus 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 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release