5J2-47269-91352
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-10
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-19
- 2021-03-24
- 2021-05-12
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Chest discomfort, Cough, Headache — Feeling: FairFree text: Last 2 days: a tickle in my chest that makes me want to cough some, a mild headache, and a slightly higher temperature than normal (but still only 99.3). I returned home from (b)(6) Missouri 3 days ago, so I might have caught a virus there.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-06
Dose 3 — Moderna
- 2022-02-10
-
2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-05-05
- 2022-05-11
-
2022-05-18
Survey response — day 42, dose 4MedDRA: Blood potassium increased — Feeling: GoodFree text: High potassium, probably due to my blood pressure medication needing to be adjusted. I am getting the level retested today.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
-
2022-10-05
Survey response — 6 months, dose 4MedDRA: Headache, Pre-existing disease, SARS-CoV-2 test negative, Sinus congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sinus congestion, sneezing and headache, probably due to ragweed allergy. Took one at-home Covid test and tested negative. Gradually improving.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Last 2 days: a tickle in my chest that makes me want to cough some, a mild headache, and a slightly higher temperature than normal (but still only 99.3). I returned home from (b)(6) Missouri 3 days ago, so I might have caught a virus there.
redacted (b)(6)
Release 11 — day 42, dose 4
Symptoms: High potassium, probably due to my blood pressure medication needing to be adjusted. I am getting the level retested today.
Release 12 — 6 months, dose 4
Symptoms: Sinus congestion, sneezing and headache, probably due to ragweed allergy. Took one at-home Covid test and tested negative. Gradually improving.
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 | Blood potassium increased | · | · | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release