4KC-13618-36901
4 vaccinations
6 coded responses
32 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · HeadacheFree text: Temporary brain fogginessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — day 7, dose 1MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: Random dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-11
- 2021-05-19
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2021-07-07
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Considered it a head cold. Never registered a fever. Had headache, fatigue, heavy congestion, mild labored breathing, sore throat. Still experiencing what I consider to be end symptoms. Three weeks now since onset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-04
-
2021-11-06
Dose 3 — Pfizer-BioNTech
-
2022-04-05
Survey response — 12 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Random cold symptoms, coughs.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Dose 4 — Moderna
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-05
- 2022-05-06
- 2022-05-13
-
2022-05-24
Survey response — day 21, dose 4MedDRA: Chest discomfort, Cough, Dysphagia, Tenderness — Feeling: FairFree text: Tender throat. Sometimes hard to swallow. Chest compression, random dry coughing.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Survey response — day 28, dose 4MedDRA: Cough, Dyspnoea, Laryngitis, Rhinorrhoea, Tenderness — Feeling: FairFree text: Laryngitis, tender throat, nasal drainage, persistent cough, shortness of breath.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Temporary brain fogginess
Release 5 — day 7, dose 1
Systemic reaction (other): Random dry cough
Release 9 — 3 months, dose 2
Symptoms: Considered it a head cold. Never registered a fever. Had headache, fatigue, heavy congestion, mild labored breathing, sore throat. Still experiencing what I consider to be end symptoms. Three weeks now since onset.
Release 11 — 12 months, dose 2
Symptoms: Random cold symptoms, coughs.
Release 11 — day 21, dose 4
Symptoms: Tender throat. Sometimes hard to swallow. Chest compression, random dry coughing.
Release 11 — day 28, dose 4
Symptoms: Laryngitis, tender throat, nasal drainage, persistent cough, shortness of breath.
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release