62Y-16726-94026
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 403 / KY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Mild runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-04-01
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-09
- 2021-04-17
- 2021-04-23
- 2021-05-01
- 2021-05-07
- 2021-05-14
-
2021-07-04
Survey response — 3 months, dose 2MedDRA: Hypertension, Pre-existing disease — Feeling: GoodFree text: My blood pressure was very high one month after my vaccination. It went up to 202/104. That was unheard of for my BP history. I am taking some medication and its normal. Personally, I feel like it wa vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-03
-
2021-12-16
Dose 3 — Moderna
- 2022-04-02
-
2022-06-16
Survey response — 6 months, dose 3MedDRA: COVID-19, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to work or attend schoolFree text: I currently have COVID. My symptoms are very mild. I thought my allergies were really acting up but tested before returning to work after 2 days off. I had tested negative 3 days earlier.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Dose 4 — Pfizer-BioNTech
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-11-29 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild runny nose
Release 9 — 3 months, dose 2
Symptoms: My blood pressure was very high one month after my vaccination. It went up to 202/104. That was unheard of for my BP history. I am taking some medication and its normal. Personally, I feel like it wa vaccine related.
Release 12 — 6 months, dose 3
Symptoms: I currently have COVID. My symptoms are very mild. I thought my allergies were really acting up but tested before returning to work after 2 days off. I had tested negative 3 days earlier.
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 | COVID-19 | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release