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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

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Cough, Pre-existing disease — Feeling: Fair
    Free 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
  6. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-10
    Survey response — day 28, dose 1
    MedDRA: Lacrimation increased, Nasal discomfort, Rhinorrhoea, Sneezing — Feeling: Good
    Free 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
  8. 2021-02-11
    Dose 2 — Moderna
  9. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Cough, Pain in extremity, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free 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 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-18
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Wheezing — Feeling: Good
    Free 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 also
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-11Moderna

Free text

Release 3 — day 14, dose 1

2021-01-29

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

2021-02-10

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

2021-02-18

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

2021-03-18

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDLacrimation increased ✓ ✓ ✓
SDNasal discomfort ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SDWheezing ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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