DTB-62911-10353
3 vaccinations
2 coded responses
39 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZRA-44654-14092
Child or adolescent in my care · Female · 2022-07-08
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-11-02
Dose 3 — Moderna
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Insomnia, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: Contracted Covid. Symptoms began day after Christmas. Started with sore throat, fatigue, sinuses draining into lungs. Coughing. Unable to sleep lying down. Intense Sore throat lasted 1 day. Fatigue lasted 3 days. Post nasal drip lasted a long time.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Survey response — 6 months, dose 3MedDRA: COVID-19, Exposure to SARS-CoV-2, Malaise, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Contracted Covid at Christmas 2021. Visited family in (b)(6). Whole house got sick on same day. Took 6 month old to ER with fever. She was only one who was tested (positive) for covid. Most symptoms gone in 4 days. Sinus bad for weeks after.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Free text
Release 11 — 3 months, dose 3
Symptoms: Contracted Covid. Symptoms began day after Christmas. Started with sore throat, fatigue, sinuses draining into lungs. Coughing. Unable to sleep lying down. Intense Sore throat lasted 1 day. Fatigue lasted 3 days. Post nasal drip lasted a long time. cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Contracted Covid at Christmas 2021. Visited family in (b)(6). Whole house got sick on same day. Took 6 month old to ER with fever. She was only one who was tested (positive) for covid. Most symptoms gone in 4 days. Sinus bad for weeks after.
redacted (b)(6)
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 | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release