Z6J-34022-98480
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 308 / GA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-17
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Cough, Pre-existing disease — Feeling: FairFree text: Always have had trouble with a non productive cough. Last 5 days, it seems to be more congested, but still non productive. X-rays always negative, have GERD . On protonix for years. Take liquid phenergan that seems to help some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-10
Survey response — day 28, dose 1MedDRA: Lacrimation increased, Nasal discomfort, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Yesterday, felt like I may be starting to get head cold. Watery eyes, little runny nose , sneezing, that tingling feeling in your nasal cavity thats usually the first sign of head cold. Went to bed, rested, ate 2 navel oranges. Feel better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Cough, Pain in extremity, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: On the 14th(Sunday) I had a noticeable runny nose/coughing/sneezing all day. Subsided the following day.. no pain in right arm, just a little soreness for 2-3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Dyspnoea, Wheezing — Feeling: GoodFree text: Perhaps a little more SOB when traversing my stairs (30). Some inspiratory wheezes this morning before I went to sleep. Im obese (230lbs) and 66, so maybe just a consequential progression of those factors. Worked a strenuous 14h shift last PM alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-05-13
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Always have had trouble with a non productive cough. Last 5 days, it seems to be more congested, but still non productive. X-rays always negative, have GERD . On protonix for years. Take liquid phenergan that seems to help some.
Release 4 — day 28, dose 1
Symptoms: Yesterday, felt like I may be starting to get head cold. Watery eyes, little runny nose , sneezing, that tingling feeling in your nasal cavity thats usually the first sign of head cold. Went to bed, rested, ate 2 navel oranges. Feel better today.
Release 4 — day 7, dose 2
Systemic reaction (other): On the 14th(Sunday) I had a noticeable runny nose/coughing/sneezing all day. Subsided the following day.. no pain in right arm, just a little soreness for 2-3 days
Release 5 — day 35, dose 2
Symptoms: Perhaps a little more SOB when traversing my stairs (30). Some inspiratory wheezes this morning before I went to sleep. Im obese (230lbs) and 66, so maybe just a consequential progression of those factors. Worked a strenuous 14h shift last PM also
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release