Y2R-85735-11646
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
- 2021-04-12
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Almost no issues in 2nd dose so far, just mild arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
-
2021-04-26
Survey response — day 14, dose 2MedDRA: Headache — Feeling: FairFree text: Headache starting Saturday 4/24 and finally easing up today. First headache Ive had in years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-11
- 2021-05-17
- 2021-05-24
- 2021-07-12
-
2021-10-11
Survey response — 6 months, dose 2MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Son had a breakthrough covid case (Pfizer fully vax) and tested positive. I had the same symptoms as he did but tested negative 3 times (moderna fully vax). I was told i likely had covid but not enough to show up on pcr test.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-26
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Heart rate increased — Feeling: Good · Be unable to work or attend schoolFree text: High heart rate off and on for past few monthsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: COVID-19, Sleep disorder, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid, and what might be long covid symptoms such as inappropriate tachycardia and sleep issues.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-27
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-26 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Almost no issues in 2nd dose so far, just mild arm pain
Release 8 — day 14, dose 2
Symptoms: Headache starting Saturday 4/24 and finally easing up today. First headache Ive had in years.
Release 10 — 6 months, dose 2
Symptoms: Son had a breakthrough covid case (Pfizer fully vax) and tested positive. I had the same symptoms as he did but tested negative 3 times (moderna fully vax). I was told i likely had covid but not enough to show up on pcr test.
Release 11 — 6 months, dose 3
Symptoms: High heart rate off and on for past few months
Release 12 — 12 months, dose 3
Symptoms: Covid, and what might be long covid symptoms such as inappropriate tachycardia and sleep issues.
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 | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release