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
-
2021-02-15
Dose 1 — Moderna
-
2021-03-15
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
- 2021-04-10
- 2021-04-21
- 2021-04-26
- 2021-06-16
-
2021-08-27
Dose 3 — Moderna
- 2021-09-15
-
2021-11-26
Survey response — 3 months, dose 3MedDRA: Pre-existing disease, Self-medication, Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2022-02-25
-
2022-05-01
Dose 4 — Moderna
-
2022-05-17
Survey response — day 14, dose 4MedDRA: Fatigue, Office visit, Pyrexia, SARS-CoV-2 test negative, Tooth abscess — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-15
- 2022-08-01
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-08-27 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
Free text
Release 10 — 3 months, dose 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tooth abscess | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release