6AY-31793-75031
1 vaccination
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 681 / NE
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-11
Dose 1 — Moderna
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-25
- 2021-05-02
-
2021-07-11
Survey response — 3 months, dose 1MedDRA: Body temperature increased, Dizziness, Dyspnoea, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend schoolFree text: Yesterday I left work early because i was having a really hard time breathing, and I felt very lightheaded-like I was going to pass out. My temperature most of yesterday was 99.6°. I have a Covid antigen test scheduled tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-10
Survey response — 6 months, dose 1MedDRA: Feeling abnormal, Respiratory syncytial virus infection, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: RSV, I believe it's unrelated to the vaccine because my daughter got it in preschool. After our whole family got it, she's no longer in preschool. Other than that, I've been dealing with something making my head fuzzy feeling and congested.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-29
Call successfulDoes not wish to fill out VAERS report
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 9 — 3 months, dose 1
Symptoms: Yesterday I left work early because i was having a really hard time breathing, and I felt very lightheaded-like I was going to pass out. My temperature most of yesterday was 99.6°. I have a Covid antigen test scheduled tomorrow.
Release 10 — 6 months, dose 1
Symptoms: RSV, I believe it's unrelated to the vaccine because my daughter got it in preschool. After our whole family got it, she's no longer in preschool. Other than that, I've been dealing with something making my head fuzzy feeling and congested.
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 | Body temperature increased | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release