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52X-30136-62575

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
890 / NV
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-07
    Registered in v-safe
  2. 2021-02-08
    Dose 1 — Moderna
  3. 2021-02-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure increased, Hypertension — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: My blood pressure is a little high
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-15
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Slight headache better than yesterday. Still tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-01
    Survey response — day 21, dose 1
    MedDRA: Headache, Productive cough — Feeling: Fair
    Free text: Still have a slight headache every morning and I cough up alot of phlegm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-08
    Dose 2 — Moderna
  14. 2021-03-15
    Survey response — day 7, dose 2
    MedDRA: Cough — Feeling: Fair · Headache
    Free text: Coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-29
    Survey response — day 21, dose 2
    MedDRA: Cough, Productive cough — Feeling: Fair
    Free text: Coughing up a lotbof phlegm and rattles my brain when I cough. Using an inhaler several times a day. Thinking about going to see a doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-05
    Survey response — day 28, dose 2
    MedDRA: Headache, Productive cough — Feeling: Fair
    Free text: Continue to cough up phlegm and still lingering headaches.Probably should contact my primary physician
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-12
    Survey response — day 35, dose 2
    MedDRA: Cough, Headache, Productive cough — Feeling: Fair
    Free text: Continue to cough up phlegm and a rattling headache when I cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-06-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-08Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Weak

2021-02-14

Systemic reaction (other): My blood pressure is a little high

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): Slight headache better than yesterday. Still tired

Release 4 — day 21, dose 1

2021-03-01

Symptoms: Still have a slight headache every morning and I cough up alot of phlegm

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): Coughing

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Coughing up a lotbof phlegm and rattles my brain when I cough. Using an inhaler several times a day. Thinking about going to see a doctor.

Release 6 — day 28, dose 2

2021-04-05

Symptoms: Continue to cough up phlegm and still lingering headaches.Probably should contact my primary physician

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Continue to cough up phlegm and a rattling headache when I cough

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
SDCough ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBlood pressure increased ✓ · ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypertension ○ ✓ ○

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

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