4P5-19067-07611
4 vaccinations
5 coded responses
42 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-09
Dose 2 — Moderna
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
-
2021-03-30
Survey response — day 21, dose 2MedDRA: Chills, Diarrhoea — Feeling: GoodFree text: On Friday night I woke up with the chills. After about 10 minutes it was gone and I went back to sleep. Then all day on Sat. I had diarrhea. By Sunday morning I was back to normal again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-10-26
Dose 3 — ModernaCo-administered: Flu
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-05-02
Dose 4 — Moderna
- 2022-05-18
- 2022-05-23
- 2022-05-30
-
2022-06-06
Survey response — day 35, dose 4MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Runny nose, cough, and nasel congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Survey response — day 42, dose 4MedDRA: Dyspnoea, Productive cough, Sputum discoloured — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Woke up recently with trouble breathing. After usong a rescue inhaler I coughed up yellow phlem. Currently no congestion but no productive cough continues.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-14
-
2022-08-01
Survey response — 3 months, dose 4MedDRA: Diplopia, Headache, Upper respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respatory infection. For the last 9 dsys O have had a headache with double vision.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-01
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-02
- 2022-08-02
-
2022-10-31
Survey response — 6 months, dose 4MedDRA: Cough, Nasal congestion, Upper respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Upper respotary congestion, cough, and nasel congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-26 | Moderna | Flu |
| 4 | 2022-05-02 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 21, dose 2
Symptoms: On Friday night I woke up with the chills. After about 10 minutes it was gone and I went back to sleep. Then all day on Sat. I had diarrhea. By Sunday morning I was back to normal again.
Release 11 — day 35, dose 4
Symptoms: Runny nose, cough, and nasel congestion.
Release 12 — day 42, dose 4
Symptoms: Woke up recently with trouble breathing. After usong a rescue inhaler I coughed up yellow phlem. Currently no congestion but no productive cough continues.
Release 12 — 3 months, dose 4
Symptoms: Upper respatory infection. For the last 9 dsys O have had a headache with double vision.
Release 12 — 6 months, dose 4
Symptoms: Upper respotary congestion, cough, and nasel congestion
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Diplopia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release