Y3Y-44385-98696
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 805 / CO
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-04-22
Registered in v-safe
-
2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-29
- 2021-05-05
- 2021-05-12
-
2021-07-21
Survey response — 3 months, dose 1MedDRA: Dizziness, Headache, Indifference — Feeling: Poor · Be unable to work or attend schoolFree text: Since my second Moderna booster shot on July 1 I was pretty good upfront but now 21 days detached I am experiencing severe headaches today even dizziness I have no idea if its shot related but its not funMedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Survey response — 6 months, dose 1MedDRA: Gout, Pre-existing disease, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I've had reoccurring gout symptoms. I've had occasional bouts with fever at night. Make no mistake about this the vaccine triggered a gout in my body.! I would have extreme trouble putting myself through a voluntary booster.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna |
Free text
Release 9 — 3 months, dose 1
Symptoms: Since my second Moderna booster shot on July 1 I was pretty good upfront but now 21 days detached I am experiencing severe headaches today even dizziness I have no idea if its shot related but its not fun
Release 10 — 6 months, dose 1
Symptoms: I've had reoccurring gout symptoms. I've had occasional bouts with fever at night. Make no mistake about this the vaccine triggered a gout in my body.! I would have extreme trouble putting myself through a voluntary booster.
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 | Dizziness | · | · | ✓ |
| SD | Gout | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Indifference | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release