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ZU8-28641-43249

4 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-04-10
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Dose 1 — Moderna
  2. 2021-03-15
    Dose 2 — Moderna
  3. 2021-04-10
    Registered in v-safe
  4. 2021-04-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-06-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-08-27
    Dose 3 — Moderna
  9. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-11-26
    Survey response — 3 months, dose 3
    MedDRA: Pre-existing disease, Self-medication, Sinusitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had a sinus infection. I get them at least 1x/year. Factors include pollen, air quality, dust. This year I forewent an urgent care visit for a RX for Amox-Clav 875-125. The infection ran it's course in 10 days w/salt H2O 2x/day nasal rinses.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-05-01
    Dose 4 — Moderna
  13. 2022-05-17
    Survey response — day 14, dose 4
    MedDRA: Fatigue, Office visit, Pyrexia, SARS-CoV-2 test negative, Tooth abscess — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I was feeling tired & feverish. I tested for Covid & it was negative. I saw my dentist & had an abscessed upper left molar. It was removed last Thursday. 10 days of rest, soft food & antibiotics. With pandemic, this was 1st visit in 2 years.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-05-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  16. 2022-06-05
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  17. 2022-06-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  18. 2022-08-01
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  19. 2022-10-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna
32021-08-27Moderna No
42022-05-01Moderna No

Free text

Release 10 — 3 months, dose 3

2021-11-26

Symptoms: I had a sinus infection. I get them at least 1x/year. Factors include pollen, air quality, dust. This year I forewent an urgent care visit for a RX for Amox-Clav 875-125. The infection ran it's course in 10 days w/salt H2O 2x/day nasal rinses. cut off by CDC

Release 11 — day 14, dose 4

2022-05-17

Symptoms: I was feeling tired & feverish. I tested for Covid & it was negative. I saw my dentist & had an abscessed upper left molar. It was removed last Thursday. 10 days of rest, soft food & antibiotics. With pandemic, this was 1st visit in 2 years.

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
SDFatigue · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication · · ✓
SDSinusitis · · ✓
SDTooth abscess · · ✓

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