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ZLE-48021-35272

3 vaccinations 4 coded responses 5 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
494 / MI
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-03-16
    Dose 2 — Moderna
  3. 2021-04-03
    Registered in v-safe
  4. 2021-04-03
    Survey response — day 14, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: The second day after my second vaccine I developed a dry cough. It started on March 18 and lingered thru the 29. I then started using throat lozenges and cough syrup and it is almost gone now, which is April 3.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — day 21, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: My cough is getting slightly worse. Im going back to cough syrup to help control the cough. This cough started two days after my second vaccine shot. This is Friday night, if not better by Monday Im getting in touch with my Internist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-10-25
    Dose 3 — Moderna
    Co-administered: Flu
  8. 2022-03-16
    Survey response — 12 months, dose 2
    MedDRA: Influenza, Pneumonia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I had pneumonia in Dec 21' and currently diagnosed with Type A influenza and pneumonia again.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-27
    Survey response — 12 months, dose 3
    MedDRA: Office visit, Pulmonary fibrosis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pulmonary fibrosis · Healthcare visit (other): Dr appointments
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-10-27
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2022-10-28

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-10-25Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-10-27 Unsuccessful

Free text

Release 6 — day 14, dose 2

2021-04-03

Symptoms: The second day after my second vaccine I developed a dry cough. It started on March 18 and lingered thru the 29. I then started using throat lozenges and cough syrup and it is almost gone now, which is April 3.

Release 7 — day 21, dose 2

2021-04-09

Symptoms: My cough is getting slightly worse. Im going back to cough syrup to help control the cough. This cough started two days after my second vaccine shot. This is Friday night, if not better by Monday Im getting in touch with my Internist.

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: I had pneumonia in Dec 21' and currently diagnosed with Type A influenza and pneumonia again.

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Pulmonary fibrosis
Healthcare visit (other): Dr appointments

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
HCVOOffice visit · · ✓
SDCough ✓ ✓ ✓
SDInfluenza · · ✓
SDPneumonia · · ✓
SDPulmonary fibrosis · · ✓

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