5W6-26008-79883
3 vaccinations
6 coded responses
6 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 245 / VA
- Registered
- 2021-11-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-25
Dose 1 — Moderna
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2021-04-22
Dose 2 — Moderna
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2021-11-13
Dose 3 — Pfizer-BioNTech
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2021-11-14
Registered in v-safe
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea, Snoring, Somnolence, Stomatitis — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: Noticed inflammation of the tissue in the roof of my mouth where nasal track joins my gullet. Had unusual groggy snoring and breathingMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Nasal neoplasm, Oral neoplasm, Snoring — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tirednessFree text: The surprise growth in the nasal cavity inside the roof of my mouth reduced in size but still had a groggy snoring at nightMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Snoring, Somnolence — Feeling: Good · Site: Pain, Swelling, Itching · Abdominal painFree text: Groggy snoring from the nasal intersection with roof of my mouthMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Nasal inflammation, Snoring, Somnolence, Stomatitis — Feeling: GoodFree text: Groggy snoring due to the inflammation of the flapper at the intersection of the nose and roof of my mouth is decreasingMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Pharyngeal inflammation, Snoring, Somnolence — Feeling: Good · Fatigue or tirednessFree text: Groggy snoring overnight due to the inflamed organ between the nose and inner mouth areaMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — day 7, dose 3MedDRA: Mouth swelling, Nasal congestion, Snoring — Feeling: GoodFree text: Just the mout nose intersection swelling causing unusual snoring at night. Will see a doctor in a couple of weeksMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | No |
| 2 | 2021-04-22 | Moderna | No |
| 3 | 2021-11-13 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Noticed inflammation of the tissue in the roof of my mouth where nasal track joins my gullet. Had unusual groggy snoring and breathing
Systemic reaction (other): The surprise growth in the nasal cavity inside the roof of my mouth reduced in size but still had a groggy snoring at night
Systemic reaction (other): Groggy snoring from the nasal intersection with roof of my mouth
Systemic reaction (other): Groggy snoring due to the inflammation of the flapper at the intersection of the nose and roof of my mouth is decreasing
Systemic reaction (other): Groggy snoring overnight due to the inflamed organ between the nose and inner mouth area
Release 10 — day 7, dose 3
Systemic reaction (other): Just the mout nose intersection swelling causing unusual snoring at night. Will see a doctor in a couple of weeks
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 |
|---|---|---|---|---|
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Mouth swelling | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasal inflammation | · | · | ✓ |
| SRO | Nasal neoplasm | · | · | ✓ |
| SRO | Oral neoplasm | · | · | ✓ |
| SRO | Pharyngeal inflammation | · | · | ✓ |
| SRO | Snoring | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release