Y5F-24851-58304
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 234 / VA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Eye pain, Headache, Pain, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: Didnt start this until several day after shot. First 24 hours had fever of 102.0, headache, chills, body ache. Confined to bed. Opening eyes was painful. Same symptoms on day 2 with a fever of 100.7, still painful to open eyes and stuck in bed. Fever gone on day three and, by midday, felt great.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-11
Dose 2 — Moderna
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Pyrexia — Feeling: GoodFree text: Within 12 hours of vaccination, develop fever of 102 degrees. Also experienced chills, headache, mischief aches, fatigue, nausea, and diarrhea. Fever lasted about 30 hours. Was symptom free 3 days after being vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Didnt start this until several day after shot. First 24 hours had fever of 102.0, headache, chills, body ache. Confined to bed. Opening eyes was painful. Same symptoms on day 2 with a fever of 100.7, still painful to open eyes and stuck in bed. Fever gone on day three and, by midday, felt great.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Within 12 hours of vaccination, develop fever of 102 degrees. Also experienced chills, headache, mischief aches, fatigue, nausea, and diarrhea. Fever lasted about 30 hours. Was symptom free 3 days after being vaccinated.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release