PRF-27541-15037
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-06-14
- Relationship
- Adult relative or friend
- Guardian
- 2PM-15668-72213
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-13
Dose 2 — Moderna
-
2021-06-14
Registered in v-safe
-
2021-06-14
Survey response — 3 months, dose 2, dependentMedDRA: Memory impairment — Feeling: GoodFree text: Forgetting things names dates etc. seems worse could be age. Seeing s as dr if remains or worsensMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-03-14
Survey response — 12 months, dose 2, dependentMedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: GoodFree text: Sore throat low grade fever coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Free text
Release 9 — 3 months, dose 2, dependent
Symptoms: Forgetting things names dates etc. seems worse could be age. Seeing s as dr if remains or worsens
Release 11 — 12 months, dose 2, dependent
Symptoms: Sore throat low grade fever cough
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 | Memory impairment | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release