6YA-12857-08740
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 468 / IN
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-13
Dose 2 — Moderna
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: GoodFree text: Saturday afternoon after getting the shot I started having a little headache. Sunday I took 2 Tylenol tabs. The headache went away. Feel great no fever or chills like I had the day after the first vaccination shot.Arm dosent hurt hardly at all either. It hurt severak dats after first vaccination shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-04
- 2021-04-13
- 2021-04-17
- 2021-04-24
- 2021-06-12
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Dysgeusia, Pre-existing disease — Feeling: FairFree text: When I got Covid-19 I lost totally all taste and smell period. I mean none. After about 6 to 7 months I started to get a little back. About 15 to 20 %. Onins tasted horrible like metal. Than started to get better. Now its back and worst.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Saturday afternoon after getting the shot I started having a little headache. Sunday I took 2 Tylenol tabs. The headache went away. Feel great no fever or chills like I had the day after the first vaccination shot.Arm dosent hurt hardly at all either. It hurt severak dats after first vaccination shot.
Release 9 — 6 months, dose 2
Symptoms: When I got Covid-19 I lost totally all taste and smell period. I mean none. After about 6 to 7 months I started to get a little back. About 15 to 20 %. Onins tasted horrible like metal. Than started to get better. Now its back and worst.
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 | Condition aggravated | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release