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YG7-68696-36833

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
894 / NV
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-29
    Dose 2 — Moderna
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache
    Adult check-in
  16. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Oral herpes, Pre-existing disease — Feeling: Fair · Site: Pain · Fever
    Free text: 2 cold sores on my upper lip and 2 cancer sores on my tongue have developed after my second shot. I never have had cold sores on my lip before but I get canker sores from time to time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Several canker sores in my my mouth. Maybe unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-05
    Survey response — day 7, dose 2
    MedDRA: Cheilitis, Glossodynia, Lip pain, Tongue ulceration — Feeling: Good
    Free text: Still have sore spots on my lip and tongue. Pain is moderate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-29
    Survey response — 12 months, dose 2
    MedDRA: Cough, Nasal congestion, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    Free text: Tested positive for COVID. Runny nose, cough, mild fever, stuffy nose. Similar to a combination of a cold and the flu.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-29Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): 2 cold sores on my upper lip and 2 cancer sores on my tongue have developed after my second shot. I never have had cold sores on my lip before but I get canker sores from time to time.

2021-02-04

Systemic reaction (other): Several canker sores in my my mouth. Maybe unrelated.

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): Still have sore spots on my lip and tongue. Pain is moderate.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Tested positive for COVID. Runny nose, cough, mild fever, stuffy nose. Similar to a combination of a cold and the flu.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDNasal congestion · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SROAphthous ulcer ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPain ○ ○ ○
SROPre-existing disease ✓ ✓ ✓
SROTongue ulceration ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release