4MD-41235-92514
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 840 / UT
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
-
2021-02-15
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Headache, Myalgia, Pyrexia, Respiratory tract congestion — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: On the day of the shot I received at 4 pm, at 6 pm I felt chest congestion. 12 hours after the shot, 4:24am, I woke up with a headache localized at my temples and shivering due to the low temperature in my room. I raised the temperature and allowed the fever to commence; it lasted approximately 3.5 hours. The day of the 9th I felt muscle aches and overall fatigue throughout the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2022-02-08
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Persistent infrequent cough after contracting COVID 19 (presumed omicron variant based on my symptoms).MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): On the day of the shot I received at 4 pm, at 6 pm I felt chest congestion. 12 hours after the shot, 4:24am, I woke up with a headache localized at my temples and shivering due to the low temperature in my room. I raised the temperature and allowed the fever to commence; it lasted approximately 3.5 hours. The day of the 9th I felt muscle aches and overall fatigue throughout the day
Release 11 — 12 months, dose 2
Symptoms: Persistent infrequent cough after contracting COVID 19 (presumed omicron variant based on my symptoms).
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 | COVID-19 | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release