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4QL-20543-88544

3 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
940 / CA
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Dry mouth — Feeling: Good
    Free text: Forgot to mention for last checkin that dry mouth is occurring. Stiil the same this week. Don't know if vaccine related or not. Have not noted any other possible symptom.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-22
    Dose 2 — Moderna
  6. 2021-04-22
    Survey response — day 0, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Slight dry mouth as noted last week. Not increased at this time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Poor · Site: Swelling · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Still notice dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Good · Fatigue or tiredness
    Free text: Continued dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Continued dry mouth only notable issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Only continued dry mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Dry mouth still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-29
    Survey response — day 7, dose 2
    MedDRA: Dry mouth — Feeling: Good
    Free text: Still dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-22
    Dose 3 — Moderna
  22. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Muscle or body aches
    Free text: Note dose was a booster 0.25ml not additional dose.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  24. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna
32021-11-22Moderna No

Free text

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Forgot to mention for last checkin that dry mouth is occurring. Stiil the same this week. Don't know if vaccine related or not. Have not noted any other possible symptom.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Slight dry mouth as noted last week. Not increased at this time.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Still notice dry mouth

2021-04-24

Systemic reaction (other): Continued dry mouth

2021-04-25

Systemic reaction (other): Continued dry mouth only notable issue.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Only continued dry mouth.

2021-04-27

Systemic reaction (other): Dry mouth

2021-04-28

Systemic reaction (other): Dry mouth still present.

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Still dry mouth

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Note dose was a booster 0.25ml not additional dose.

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

FieldPreferred term2021-092023-042024-11
SDDry mouth ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROUnevaluable event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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