Z9T-22365-13867
5 vaccinations
3 coded responses
51 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 484 / MI
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-21
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-27
-
2021-10-30
Dose 3 — Moderna
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-06
-
2021-11-13
Survey response — day 14, dose 3MedDRA: Headache, Nausea, SARS-CoV-2 test negative, Sputum discoloured — Feeling: PoorFree text: Last night and today: nausea, headache, some green mucus. Temp is normal, he covid test negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Diarrhoea, Headache, Nausea, SARS-CoV-2 test positive — Feeling: PoorFree text: Thought I ate something bad, but last 3 days Ive had some nausea, diarrhea and a headache at times. Temp is normal. Took a home covid test and it said positive but realized it had expired in May. Have a rapid-covid test scheduled for Monday.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
-
2021-12-12
Survey response — day 42, dose 3MedDRA: Nausea, Self-medication, Sinusitis — Feeling: GoodFree text: Unexplained nausea almost daily, but it doesnt last long especially when I take ibuprofen and an anti acid. Had a sinus infection but its gone now but the nausea still persist.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
-
2022-04-03
Dose 4 — Moderna
- 2022-05-02
- 2022-05-08
- 2022-05-15
- 2022-07-03
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu
- 2022-10-02
- 2022-10-04
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-23
- 2022-10-28
- 2022-11-05
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Free text
Release 10 — day 14, dose 3
Symptoms: Last night and today: nausea, headache, some green mucus. Temp is normal, he covid test negative.
Release 10 — day 28, dose 3
Symptoms: Thought I ate something bad, but last 3 days Ive had some nausea, diarrhea and a headache at times. Temp is normal. Took a home covid test and it said positive but realized it had expired in May. Have a rapid-covid test scheduled for Monday.
Release 10 — day 42, dose 3
Symptoms: Unexplained nausea almost daily, but it doesnt last long especially when I take ibuprofen and an anti acid. Had a sinus infection but its gone now but the nausea still persist.
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 | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release