4KR-15596-43757
5 vaccinations
3 coded responses
47 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 610 / IL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling hot, Headache — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: I felt feverish even though my temperature never was high. I had a very mild headache and was moderately fatigued. This report is for the last 24 hours. Things are getting better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-17
- 2021-10-15
-
2021-11-18
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-21
-
2022-07-13
Dose 4 — Moderna
-
2022-10-05
Dose 5 — ModernaCo-administered: Flu
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-11-16
Survey response — day 42, dose 5MedDRA: Body temperature increased, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: I'm currently experiencing a common cold. Started on 11/13 and continues today. Had elevated temperature (+2 F above my normal temperature) on Monday 11/14 but has quickly come down to within .5 F today. Only sniffles & sore throat remaining.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-07-13 | Moderna | No |
| 5 | 2022-10-05 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I felt feverish even though my temperature never was high. I had a very mild headache and was moderately fatigued. This report is for the last 24 hours. Things are getting better now.
Release 12 — day 42, dose 5
Symptoms: I'm currently experiencing a common cold. Started on 11/13 and continues today. Had elevated temperature (+2 F above my normal temperature) on Monday 11/14 but has quickly come down to within .5 F today. Only sniffles & sore throat remaining.
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 | Body temperature increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release