ZHP-48989-62661
4 vaccinations
3 coded responses
40 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-20
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-12
- 2021-03-19
- 2021-09-03
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Cough, Paranasal sinus hypersecretion, Pre-existing disease — Feeling: FairFree text: Terrible cough and sinus drainage, mainly at night. I don't think it is Covid related, loose sinus drainage similar to allergies. No fever, no sore throat, and O2 level above 98%. Good taste and smell. It has been hanging on just over a week.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, dry cough, slight feverMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-14
-
2022-04-23
Dose 4 — Moderna
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
-
2022-07-23
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: GoodFree text: Slight cough and shortness of breath. Fatigue quickly while walking. I had slight COVID case January, 2021, no apparent symptoms other than slight cough. Never felt bad at all! Tested negative 7 days after positive results.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-28 | Unsuccessful |
Free text
Release 10 — day 35, dose 3
Symptoms: Terrible cough and sinus drainage, mainly at night. I don't think it is Covid related, loose sinus drainage similar to allergies. No fever, no sore throat, and O2 level above 98%. Good taste and smell. It has been hanging on just over a week.
Release 11 — 3 months, dose 3
Symptoms: Runny nose, dry cough, slight fever
Release 12 — 3 months, dose 4
Symptoms: Slight cough and shortness of breath. Fatigue quickly while walking. I had slight COVID case January, 2021, no apparent symptoms other than slight cough. Never felt bad at all! Tested negative 7 days after positive results.
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 | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release