63Y-24851-75282
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 933 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Ageusia — Feeling: GoodFree text: No taste, drank a glass of pickle juice went down like water. Stomach ache after I drank it only affect.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Eructation, Gastrooesophageal reflux disease — Feeling: GoodFree text: I dont know if related, but since this weekend I have had acid reflux pretty bad. I could just cough or burp and get a lot of acid in my throat. Again I didnt say anything cause not sure its related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-18
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-09
Survey response — day 14, dose 2MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: GoodFree text: Nausea comes in wave some times I puke some time just feel like I will. Also in last week had 4 or 5 days of diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Survey response — day 21, dose 2MedDRA: Nausea — Feeling: GoodFree text: Last week, three or four days I had waves nausea. I would be fine then all the sudden almost puking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No taste, drank a glass of pickle juice went down like water. Stomach ache after I drank it only affect.
Systemic reaction (other): I dont know if related, but since this weekend I have had acid reflux pretty bad. I could just cough or burp and get a lot of acid in my throat. Again I didnt say anything cause not sure its related.
Release 8 — day 14, dose 2
Symptoms: Nausea comes in wave some times I puke some time just feel like I will. Also in last week had 4 or 5 days of diarrhea.
Release 8 — day 21, dose 2
Symptoms: Last week, three or four days I had waves nausea. I would be fine then all the sudden almost puking.
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 | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release