Y2M-28151-76235
4 vaccinations
9 coded responses
44 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 301 / GA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat. MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity — Feeling: FairFree text: Allergic reaction to dust disturbed in air ductsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Myalgia — Feeling: FairFree text: Fatigue, aching muscles, headache for two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 21, dose 2MedDRA: Chills, Influenza, Laziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: For the past 48 hours I felt like I had a mild case of the flu. Stayed in the Lazy Boy shivering under a blanket. Woke up feeling fine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-17
Survey response — day 35, dose 2MedDRA: Influenza like illness, Pain, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Feels like moderate flu with lots of aches and pains, especially in fingers and toes; coughing and sore chest; intestinal cramps; brain fog; headaches handled by acetaminophen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — day 42, dose 2MedDRA: Cough, Dyspnoea, Dysuria, Fatigue, Feeling abnormal, Headache, Hypersomnia, Influenza like illness, Medical counselling, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Fatigue, shortness of breath, headache, cough, brain fog, 14-15 hours of sleep/nap, muscle aches, urinary pain; felt much like mild to moderate flu · Healthcare visit (other): Nurse recommended Covid PCR test; taken yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-01
- 2021-08-11
-
2021-11-01
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-17
-
2021-11-22
Survey response — day 21, dose 3MedDRA: Chills, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fatigue. Headache chillsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-02-01
- 2022-05-02
-
2022-07-08
Dose 4 — Moderna
-
2022-07-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-26
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-07-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 | |
| 2021-03-24 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat. Mild
Systemic reaction (other): Brain fog
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Allergic reaction to dust disturbed in air ducts
Release 4 — day 14, dose 2
Symptoms: Fatigue, aching muscles, headache for two days
Release 5 — day 21, dose 2
Symptoms: For the past 48 hours I felt like I had a mild case of the flu. Stayed in the Lazy Boy shivering under a blanket. Woke up feeling fine today.
Release 5 — day 35, dose 2
Symptoms: Feels like moderate flu with lots of aches and pains, especially in fingers and toes; coughing and sore chest; intestinal cramps; brain fog; headaches handled by acetaminophen.
Release 6 — day 42, dose 2
Symptoms: Fatigue, shortness of breath, headache, cough, brain fog, 14-15 hours of sleep/nap, muscle aches, urinary pain; felt much like mild to moderate flu
Healthcare visit (other): Nurse recommended Covid PCR test; taken yesterday
Release 10 — day 21, dose 3
Symptoms: Fatigue. Headache chills
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dysuria | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Laziness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release