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6VQ-21708-79345

5 vaccinations 11 coded responses 44 check-ins 11 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
523 / IA
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good
    Free text: Morning headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair
    Free text: Head cold, sinus draining, irritated throat. Wife had it first. Wife had Test for Covid 3 days ago but was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Dose 2 — Moderna
  13. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease, Sinus congestion — Feeling: Fair
    Free text: I was recovering from sinus conjestion prior to 2nd shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion, Productive cough — Feeling: Fair · Site: Pain
    Free text: Previous head cold symptons. Sinus draining and wet cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Pre-existing disease — Feeling: Fair
    Free text: Cough continuing from prior cold.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Good
    Free text: Cough from prior head cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Good · Chills
    Free text: Mild cough from prior cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-08
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: 1 week head cold , just now recovered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-11
    Dose 3 — Moderna
  27. 2022-04-08
    Survey response — 12 months, dose 2
    MedDRA: SARS-CoV-2 test positive, Sinus congestion — Feeling: Good
    Free text: Sinus congestion a couple times. In January 2022 i had positive covid test.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-05
    Dose 4 — Moderna
  29. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches
    Adult check-in
  30. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness
    Adult check-in
  31. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2022-05-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-12
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-09
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-17
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-08-04
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-09-13
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  43. 2022-09-23
    Survey response — day 7, dose 5
    MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Sinus drainage
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-27
    Survey response — day 14, dose 5
    MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I had headaches, some fever, stuffed up nose, hacking flem, coughing. At home covid test was negative. Mild sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-04
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-10-11
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-10-18
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-10-25
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-12-13
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-03-14
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-11-11Moderna No
42022-05-05Moderna No
52022-09-13Pfizer-BioNTech Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Morning headache

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Head cold, sinus draining, irritated throat. Wife had it first. Wife had Test for Covid 3 days ago but was negative.

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): I was recovering from sinus conjestion prior to 2nd shot

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Previous head cold symptons. Sinus draining and wet cough.

2021-04-12

Systemic reaction (other): Cough continuing from prior cold.

2021-04-13

Systemic reaction (other): Cough from prior head cold

2021-04-14

Systemic reaction (other): Mild cough from prior cold

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: 1 week head cold , just now recovered.

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: Sinus congestion a couple times. In January 2022 i had positive covid test.

Release 12 — day 7, dose 5

2022-09-23

Systemic reaction (other): Sinus drainage

Release 12 — day 14, dose 5

2022-09-27

Symptoms: I had headaches, some fever, stuffed up nose, hacking flem, coughing. At home covid test was negative. Mild sore throat.

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
SDCough · · ✓
SDHeadache · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus congestion · · ✓
SDThroat irritation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROParanasal sinus hypersecretion ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓
SROSinus congestion ✓ ✓ ○

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

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