4C3-32705-46765
4 vaccinations
4 coded responses
32 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 534 / WI
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-27
- 2021-04-03
- 2021-04-11
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-11-15
Dose 3 — Moderna
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Respiratory tract congestion, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A several month spell of head congestion severe. Thanks giving through most of February. Now taking Claritin.. may have new allergy.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Dose 4 — Moderna
-
2022-04-29
Survey response — day 14, dose 4MedDRA: Cough, Dyspnoea, Fatigue, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe congestion and trouble breathing, occasional coughing, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-23
- 2022-07-10
-
2022-10-10
Survey response — 6 months, dose 4MedDRA: Dyspnoea, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Condition similar to a severe cold that continues for weeks .. congestion, difficult breathing but without temperature. Perhaps an allergy but I only had this one time before ?. Last January through march.. self tested negat for COVID both timesMedDRA releases: 2024-11 · check-in free text available
-
2023-04-10
Survey response — 12 months, dose 4MedDRA: Hypersensitivity, Respiratory tract congestion, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Free text
Release 11 — 12 months, dose 2
Symptoms: A several month spell of head congestion severe. Thanks giving through most of February. Now taking Claritin.. may have new allergy.
Release 11 — day 14, dose 4
Symptoms: Severe congestion and trouble breathing, occasional coughing, fatigue
Release 12 — 6 months, dose 4
Symptoms: Condition similar to a severe cold that continues for weeks .. congestion, difficult breathing but without temperature. Perhaps an allergy but I only had this one time before ?. Last January through march.. self tested negat for COVID both times 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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release