4G7-61353-37055
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 045 / ME
- Registered
- 2021-07-07
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-07
Registered in v-safe
-
2021-07-07
Dose 1 — Moderna
- 2021-07-07
-
2021-07-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-07-09
Survey response — days 1–6 daily, dose 1MedDRA: Bowel movement irregularity, Diarrhoea — Feeling: Good · Site: PainFree text: Last night I had 4 loose bowel movements within 3 hours. I feel they were not related to the vaccine entirely though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-14
- 2021-07-21
- 2021-07-28
-
2021-08-04
Dose 2 — Moderna
- 2021-08-04
- 2021-08-05
-
2021-08-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain, Pyrexia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Last night (about 30 hours) after the injection I had a fever of 101 and the injection site was very sore to the touch and painful to move. I feel fine today.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-07
- 2021-08-08
- 2021-08-09
- 2021-08-10
- 2021-08-11
- 2021-08-18
- 2021-08-25
- 2021-09-01
- 2021-09-08
- 2021-09-15
- 2021-11-03
-
2022-02-02
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, SARS-CoV-2 test negative, Sinus disorder — Feeling: GoodFree text: Sinus issues, loss of smell and taste. Only lasted a few days. No fever. Negative at home covid test.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-04
Survey response — 12 months, dose 2MedDRA: Ageusia, COVID-19, Cognitive disorder, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid positive. Fever, loss of taste, lowered cognitive function, extremely tired.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-07 | Moderna | No |
| 2 | 2021-08-04 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Last night I had 4 loose bowel movements within 3 hours. I feel they were not related to the vaccine entirely though.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Last night (about 30 hours) after the injection I had a fever of 101 and the injection site was very sore to the touch and painful to move. I feel fine today.
Release 11 — 6 months, dose 2
Symptoms: Sinus issues, loss of smell and taste. Only lasted a few days. No fever. Negative at home covid test.
Release 12 — 12 months, dose 2
Symptoms: Covid positive. Fever, loss of taste, lowered cognitive function, extremely tired.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release