Y78-31488-49749
3 vaccinations
3 coded responses
34 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 056 / VT
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Blood pressure abnormal, Cardiac operation, Pre-existing disease — Feeling: GoodFree text: Found my blood pressure went up 140s/80s during the week. Has since returned to normal. Had recent heart surgery and been monitoring blood pressure daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-02
Dose 2 — Moderna
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain, Productive cough, Rhinorrhoea, Upper-airway cough syndrome — Feeling: GoodFree text: Start of sore throat with minimal runny nose with post nasal drip.Sore throat subsided with two days.Limited clear flem with minimal cough.3 month old granddaughter had similar conditions during stay over the weekend.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-08
- 2021-04-13
- 2021-06-03
- 2021-08-31
-
2021-10-23
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Vitreous floaters — Feeling: GoodFree text: Floaters this morning for about 15 minutesMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Found my blood pressure went up 140s/80s during the week. Has since returned to normal. Had recent heart surgery and been monitoring blood pressure daily.
Release 5 — day 14, dose 2
Symptoms: Start of sore throat with minimal runny nose with post nasal drip.Sore throat subsided with two days.Limited clear flem with minimal cough.3 month old granddaughter had similar conditions during stay over the weekend.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Floaters this morning for about 15 minutes
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 | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SD | Cardiac operation | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Vitreous floaters | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release