5UD-69950-16517
4 vaccinations
4 coded responses
39 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 336 / FL
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-14
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-13
- 2021-05-19
- 2021-05-27
- 2021-06-01
-
2021-06-11
Survey response — day 35, dose 2MedDRA: Headache, Respiratory tract congestion — Feeling: FairFree text: Congestion, occasional headache and a slight pulsing sensation on the left side of my head. The congestion I am attributing to the conditions outside. But a friend told me she had server congestion and allergies post moderna Vaccine. Just being sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-17
Survey response — day 42, dose 2MedDRA: Cough, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Went to doctor for congestion and cough. They performed a covid test which was negative. Attributed tightness to my asthma, they put me back on my inhalers. Just reporting as I still have a bit of congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
- 2021-11-02
-
2021-12-19
Dose 3 — ModernaCo-administered: Flu
- 2021-12-20
- 2021-12-21
- 2021-12-24
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-17
- 2022-01-25
- 2022-03-20
- 2022-06-19
-
2022-10-15
Dose 4 — ModernaCo-administered: Flu
-
2022-10-15
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint painsAdult check-in
- 2022-10-19
-
2022-11-12
Survey response — day 28, dose 4MedDRA: Chest discomfort, Nasal congestion, Respiratory tract congestion, Sneezing — Feeling: FairFree text: Sneezing, Stuffy Nose, Congestion( Tight Chest At Night)MedDRA releases: 2024-11 · check-in free text available
- 2022-11-20
-
2023-01-15
Survey response — 3 months, dose 4MedDRA: Chest discomfort, Cough, Influenza like illness, Nasal congestion, Respiratory disorder, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-12-19 | Moderna | Flu |
| 4 | 2022-10-15 | Moderna | Flu |
Free text
Release 9 — day 35, dose 2
Symptoms: Congestion, occasional headache and a slight pulsing sensation on the left side of my head. The congestion I am attributing to the conditions outside. But a friend told me she had server congestion and allergies post moderna Vaccine. Just being sure. cut off by CDC
Release 9 — day 42, dose 2
Symptoms: Went to doctor for congestion and cough. They performed a covid test which was negative. Attributed tightness to my asthma, they put me back on my inhalers. Just reporting as I still have a bit of congestion.
Release 12 — day 28, dose 4
Symptoms: Sneezing, Stuffy Nose, Congestion( Tight Chest At Night)
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release