XY2-23853-49052
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 327 / FL
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
-
2021-03-04
Survey response — 0 day, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-26
-
2021-03-31
Dose 2 — Moderna
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-07-02
Survey response — 3 month, dose 2MedDRA: Blood pressure increased, Brain fog, Cough, Fatigue, Rhinorrhoea, Sneezing — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-09-29
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-11-04
- 2021-11-11
- 2021-11-18
-
2021-11-25
Survey response — 28 day, dose 3MedDRA: Fatigue, Somnolence — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 month, dose 3MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-04-28
Survey response — 6 month, dose 3MedDRA: Musculoskeletal stiffness, Neck pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-04-28
Report sent to call center — 6 month, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-29
Call successfulDoes not wish to fill out VAERS report
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Successful 2022-04-29 |
Does not wish to fill out VAERS report |
Free text
Release 5
Systemic reaction (other): Numbness in thumb and index finger of injection side
Release 9
Symptoms: Tired, runny nose/sneezing (only in the morning hours), coughing, higher blood pressure than 3-4 month ago (about 5 points higher on both sys and dia), some brain fog
Release 10
Systemic reaction (other): Runny nose in the morning
Symptoms: Very tired, could sleep all day anywhere
Release 11
Symptoms: Shoulder and upper arm pain, limited to right arm and neck, could be a pinched nerve, has persisted for over a week now.
Symptoms: Neck pain, stiff neck
Healthcare visit (other): pcp
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release