4QV-14815-28063
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 777 / TX
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: I slept very well last night, but it has been hectic since the recent cold snap; we are all tired from that anyway.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-27
- 2021-03-08
- 2021-03-13
- 2021-03-20
-
2021-03-21
Dose 2 — Moderna
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-04
- 2021-06-20
- 2021-09-21
-
2021-10-29
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-14
-
2021-11-19
Survey response — day 21, dose 3MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Well I feel like I had a kidney stone, probably passed it. Still sore. This isn't unheard of for me, probably due to cutting out sugar again. But this did happen since last check in.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-01
Dose 4 — Moderna
- 2022-04-18
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-10-01
Survey response — 6 months, dose 4MedDRA: Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: FairFree text: I have had 2 URIs (upper respiratory infections), gone to doctor both times, taken covid tests. Not covid. These things are just going around in Texas, probably brought in from other countries.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-21 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I slept very well last night, but it has been hectic since the recent cold snap; we are all tired from that anyway.
Release 10 — day 21, dose 3
Symptoms: Well I feel like I had a kidney stone, probably passed it. Still sore. This isn't unheard of for me, probably due to cutting out sugar again. But this did happen since last check in.
Release 12 — 6 months, dose 4
Symptoms: I have had 2 URIs (upper respiratory infections), gone to doctor both times, taken covid tests. Not covid. These things are just going around in Texas, probably brought in from other countries.
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 | Condition aggravated | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release