6YZ-22163-92481
5 vaccinations
6 coded responses
62 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 661 / KS
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-06
- 2021-03-12
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I wanted to add that the fatigue lasted about two to two and a half hours at around noon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-09
-
2021-04-15
Survey response — day 28, dose 2MedDRA: Herpes zoster — Feeling: FairFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-06-17
-
2021-09-16
Survey response — 6 months, dose 2MedDRA: Cough, Device malfunction, Medical counselling, Pharyngeal disorder, Upper-airway cough syndrome — Feeling: GoodFree text: Over the weekend two weeks ago I had issues with my throat and some coughing. I contacted a by phone triage nurse within my insurance. Conclusion,no covid test was needed. It was likely related to post nasal drip and or an issue I had with CPAP.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Dose 3 — Moderna
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Myalgia, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, continuous cough, tired and achy muscles.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
-
2022-06-02
Dose 4 — Moderna
- 2022-06-02
- 2022-06-03
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-07-01
- 2022-07-07
- 2022-07-14
- 2022-09-01
-
2022-10-06
Dose 5 — Moderna
- 2022-10-07
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose in the morning stuffy in the afternoon to evening. 1 and 1/2 days so far.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
-
2023-01-05
Survey response — 3 months, dose 5MedDRA: Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I wanted to add that the fatigue lasted about two to two and a half hours at around noon.
Release 7 — day 28, dose 2
Symptoms: Shingles
Release 9 — 6 months, dose 2
Symptoms: Over the weekend two weeks ago I had issues with my throat and some coughing. I contacted a by phone triage nurse within my insurance. Conclusion,no covid test was needed. It was likely related to post nasal drip and or an issue I had with CPAP.
Release 11 — 3 months, dose 3
Symptoms: Sore throat, continuous cough, tired and achy muscles.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Runny nose in the morning stuffy in the afternoon to evening. 1 and 1/2 days so far.
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 | Cough | · | · | ✓ |
| SD | Device malfunction | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngeal disorder | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release