4AZ-18709-30651
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 550 / MN
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dramatic swelling of the sift tissue around my left eye, swelling above the gum lune between by right incisors and eye teethMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Eye swelling, Mouth swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Soft tissue around left eye still moderately swollen this morning. Still noticeable but down about 80% from where it was yesterday morning. Swelling in mouth went away completely yesterday by about 3:30. I worked a full day yesterday but performed at about 70% of my normal capacity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-24
- 2021-10-21
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for COVID 19 using a home testMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dramatic swelling of the sift tissue around my left eye, swelling above the gum lune between by right incisors and eye teeth
Systemic reaction (other): Soft tissue around left eye still moderately swollen this morning. Still noticeable but down about 80% from where it was yesterday morning. Swelling in mouth went away completely yesterday by about 3:30. I worked a full day yesterday but performed at about 70% of my normal capacity.
Release 11 — 12 months, dose 2
Symptoms: I tested positive for COVID 19 using a home test
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 | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release