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6KC-11342-46146

2 vaccinations 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
941 / CA
Registered
2021-06-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-26
    Dose 1 — Moderna
  2. 2021-05-26
    Dose 2 — Moderna
  3. 2021-06-06
    Registered in v-safe
  4. 2021-06-06
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-06-09
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-06-16
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair
    Free text: Stomach pains and diarrhea for about 4 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-23
    Survey response — day 28, dose 2
    MedDRA: Vomiting — Feeling: Good
    Free text: Friday night I had vomiting for about an hour. Are nothing unusual it just came on all of a sudden then it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-30
    Survey response — day 35, dose 2
    MedDRA: Headache, Nausea — Feeling: Fair
    Free text: Still get headaches and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-08-27
    Survey response — 3 months, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: A bad hacking cough
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-11-24
    Survey response — 6 months, dose 2
    MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good
    Free text: Let's and feet swelling snd hurt!
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-05-26
    Survey response — 12 months, dose 2
    MedDRA: Ageusia, COVID-19, Cough, Hypersomnia, Pyrexia, Quarantine, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had another round of Covid! Home tested positive. Self quarantined. Bad cough, fever, loss of taste, slept a lot! Tested again 8 days later with a negative result.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-26Moderna
22021-05-26Moderna

Free text

Release 9 — day 21, dose 2

2021-06-16

Symptoms: Stomach pains and diarrhea for about 4 days

Release 9 — day 28, dose 2

2021-06-23

Symptoms: Friday night I had vomiting for about an hour. Are nothing unusual it just came on all of a sudden then it went away.

Release 9 — day 35, dose 2

2021-06-30

Symptoms: Still get headaches and nausea

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: A bad hacking cough

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Let's and feet swelling snd hurt!

Release 11 — 12 months, dose 2

2022-05-26

Symptoms: Had another round of Covid! Home tested positive. Self quarantined. Bad cough, fever, loss of taste, slept a lot! Tested again 8 days later with a negative result.

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
SDAbdominal pain upper ✓ ✓ ✓
SDAgeusia · · ✓
SDCough ✓ · ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia · · ✓
SDNausea ✓ ✓ ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SDPyrexia · · ✓
SDQuarantine · · ✓
SDSARS-CoV-2 test positive · · ✓
SDVomiting ✓ ✓ ✓

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

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