XUJ-97909-70760
4 vaccinations
6 coded responses
51 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-07-02
Survey response — 3 month, dose 2MedDRA: Dry mouth, Taste disorder — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-10-01
-
2021-10-26
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-26
Survey response — 6 month, dose 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-06-09
Dose 4 — Moderna
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-14
- 2022-06-15
-
2022-06-16
Survey response — 7 day, dose 4MedDRA: Dry mouth — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-06-23
Survey response — 14 day, dose 4MedDRA: Dry mouth — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-06-30
Survey response — 21 day, dose 4MedDRA: Epistaxis, Impaired healing, Parosmia, Pre-existing disease, Sinusitis — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-07-07
- 2022-07-14
- 2022-07-21
-
2022-09-08
Survey response — 3 month, dose 4MedDRA: Sinusitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-12-08
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-06-09 | Moderna | No |
Free text
Release 9
Symptoms: Reduced sense of taste and dry mouth.
Release 11
Symptoms: Congestion, cough and sore throat. No other Covid symptoms like headache or muscle pain/weakness. Tested negative using 15 minute test. Symptoms lasted about one week and ended about 3 weeks ago.
Release 12
Systemic reaction (other): Dry mouth resumed about one week after 2nd booster. So, I assume the dry mouth I had for several months last year were a side effect of the vaccine.
Symptoms: Dry mouth continuing and somewhat worsening, similar to after the first two vaccinations.
Symptoms: Sinus infection and nose bleed that doesn't heal. Suspect may be due to new blood pressure med started in March and not booster. Symptoms started about one week ago. Noticing a strange, pungent smell as a result.
Symptoms: Sinus infection has recurred. Antibiotics resolved several weeks ago but has now come back.
Free-text releases are not linked to a specific 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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Dry mouth | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release