4VC-66853-84251
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Dry throat — Feeling: GoodFree text: a dry throat, not certain if related to shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · HeadacheFree text: spurt of a cough when beginning to soeakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 1MedDRA: Cough — Feeling: GoodFree text: A cough continues especially when beginning a conversation or upon waking in the might once or twice. Does not keep me from active lifestyle. Run, play softball, hike, bike.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Excited 2nd shot in 3 days!!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: A bit of congested, dry cough like I experienced a few days after 1st shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: fatique for 2 hrs for each of two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-09-06
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): a dry throat, not certain if related to shot
Systemic reaction (other): spurt of a cough when beginning to soeak
Release 4 — day 21, dose 1
Symptoms: A cough continues especially when beginning a conversation or upon waking in the might once or twice. Does not keep me from active lifestyle. Run, play softball, hike, bike.
Release 5 — day 28, dose 1
Symptoms: Excited 2nd shot in 3 days!!!!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A bit of congested, dry cough like I experienced a few days after 1st shot.
Release 6 — day 14, dose 2
Symptoms: fatique for 2 hrs for each of two days
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release