GPY-81192-33795
4 vaccinations
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 598 / MT
- Registered
- 2022-11-21
- Relationship
- Adult relative or friend
- Guardian
- ZF4-85360-60147
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-11-10
Dose 3 — Moderna
-
2022-11-18
Dose 4 — Moderna
-
2022-11-21
Registered in v-safe
-
2022-11-22
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Nasal congestion, Rhinorrhoea, Throat irritation, Tinnitus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Nose runs constantly and congestion. Throat irritation. Tinnitus 24 hrs after shot was annoying for first couple of days.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Eye pain, Increased viscosity of upper respiratory secretion, Pain, Secretion discharge, Sputum discoloured — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Blown yellow sticky mucous from rt & lt nostrils. Dull pain behind both eyes.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-24
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Eye pain, Respiratory tract congestion — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eyes hurt, and extreme congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-25
Survey response — day 7, dose 4, dependentMedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still heavily congested.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | No |
| 2 | 2021-02-26 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-11-18 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Nose runs constantly and congestion. Throat irritation. Tinnitus 24 hrs after shot was annoying for first couple of days.
Systemic reaction (other): Blown yellow sticky mucous from rt & lt nostrils. Dull pain behind both eyes.
Systemic reaction (other): Eyes hurt, and extreme congestion
Release 12 — day 7, dose 4, dependent
Systemic reaction (other): Still heavily congested.
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 |
|---|---|---|---|---|
| SRO | Eye pain | · | · | ✓ |
| SRO | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
| SRO | Sputum discoloured | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release