YJZ-38664-98161
3 vaccinations
6 coded responses
41 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 454 / OH
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — day 7, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose, probably from airborne irritants.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-03-06
Survey response — day 21, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Very runny nose 3 days ago, difficult to stop even with more than the usual doses of antihistamine. .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-23
Dose 3 — Moderna
- 2021-10-23
- 2021-10-24
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Rhinorrhoea, Sinus congestion — Feeling: Fair · Site: PainFree text: Sinus congestion & runny nose, but probably allergies and not a vaccine side effect.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-11-06
Survey response — day 14, dose 3MedDRA: Increased upper airway secretion, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Very runny nose, some mucus in throat, noticeable but not extreme chest congestion. These could be side effects of flu shot, received Nov 1, 2021; COVID booster received Oct 23, 2021.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold-like symptoms: very runny nose with nasal congestion, noticeable but mild chest congestion. Symptoms clearing after 2-3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: COVID-19, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Mild COVID-19 infection · Healthcare visit (other): Received & used Rx for PaxlovidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-25
-
2022-10-31
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-23 | Successful 2022-10-31 |
Completed over the phone |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Runny nose, probably from airborne irritants.
Release 5 — day 21, dose 1
Symptoms: Very runny nose 3 days ago, difficult to stop even with more than the usual doses of antihistamine. .
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus congestion & runny nose, but probably allergies and not a vaccine side effect.
Release 10 — day 14, dose 3
Symptoms: Very runny nose, some mucus in throat, noticeable but not extreme chest congestion. These could be side effects of flu shot, received Nov 1, 2021; COVID booster received Oct 23, 2021.
Release 11 — 3 months, dose 3
Symptoms: Cold-like symptoms: very runny nose with nasal congestion, noticeable but mild chest congestion. Symptoms clearing after 2-3 days.
Release 12 — 12 months, dose 3
Symptoms: Mild COVID-19 infection
Healthcare visit (other): Received & used Rx for Paxlovid
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release