Y6T-18327-42824
5 vaccinations
17 coded responses
62 check-ins
16 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 068 / CT
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-11
Dose 1 — Moderna
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2021-02-12
Registered in v-safe
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arm hurts considerably at injection site, more so than what I've experienced from a flu vaccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left arm around where injection was given still sore and hurts but not as badly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm of injection site feeling better, not very sore, able to move it pretty well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
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2021-03-11
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got the second dose just a short while ago today. Haven't felt much of anything too unusual yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pronounced vertigo, beginning this morning. Don't usually have this except briefly on occasion, maybe due to chronic sinus stuffiness and problems, but not as severely as I experienced it today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: GoodFree text: Concerned about severe vertigo experienced yesterday for a while. Seems to be gone now but I am proceeding with caution today in case I have a problem again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-09
- 2021-04-15
- 2021-04-22
- 2021-06-10
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2021-09-09
Survey response — 6 months, dose 2MedDRA: Fatigue, Oropharyngeal pain, Pre-existing disease, Sinus disorder — Feeling: GoodFree text: Sometimes feel a little bit fatigued, and having sinus issues occasionally and mild sore throat occasionally, especially on my left side where I often get these problems likely due to my left sinuses and ear. I have some allergies to dust, others.MedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Dose 3 — Moderna
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in injection-site armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
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2022-05-04
Dose 4 — Moderna
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2022-05-06
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Arm still somewhat sore from vaxx injection last Wed.MedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Arm where injected still feels very slightly sore.MedDRA releases: 2024-11 · check-in free text available
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2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Fair · Site: PainFree text: Very slight soreness in arm around injection spot.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-19
- 2022-05-25
- 2022-06-02
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2022-06-08
Survey response — day 35, dose 4MedDRA: Fatigue, Nasal discomfort, Throat irritation — Feeling: FairFree text: Nasopharynx irritation, some tiredness. Could be allergies.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-08-03
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2022-10-19
Dose 5 — Moderna
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Neck pain, Sinus congestion — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Left sinus feels congested, may be infected. Feeling tired, pain in neck.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
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2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Nasal congestion, Sinus congestion — Feeling: FairFree text: Some nasal and sinus congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
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2022-11-02
Survey response — day 14, dose 5MedDRA: Malaise — Feeling: FairFree text: Had flu vaccine shot last evening and I'm feeling a little sick today.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
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2022-11-16
Survey response — day 28, dose 5MedDRA: Fatigue, Sinus congestion — Feeling: FairFree text: Feeling a lot of sinus congestion and some fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2022-11-30
- 2023-01-18
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2023-04-19
Survey response — 6 months, dose 5MedDRA: Cough, Eye pruritus, Fatigue, Lacrimation increased, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-19
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-10-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-19 | Successful 2023-04-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm hurts considerably at injection site, more so than what I've experienced from a flu vaccine shot.
Systemic reaction (other): Left arm around where injection was given still sore and hurts but not as badly.
Systemic reaction (other): Arm of injection site feeling better, not very sore, able to move it pretty well.
Release 5 — day 0, dose 2
Systemic reaction (other): Got the second dose just a short while ago today. Haven't felt much of anything too unusual yet.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Pronounced vertigo, beginning this morning. Don't usually have this except briefly on occasion, maybe due to chronic sinus stuffiness and problems, but not as severely as I experienced it today.
Systemic reaction (other): Concerned about severe vertigo experienced yesterday for a while. Seems to be gone now but I am proceeding with caution today in case I have a problem again.
Release 9 — 6 months, dose 2
Symptoms: Sometimes feel a little bit fatigued, and having sinus issues occasionally and mild sore throat occasionally, especially on my left side where I often get these problems likely due to my left sinuses and ear. I have some allergies to dust, others.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in injection-site arm
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Arm still somewhat sore from vaxx injection last Wed.
Systemic reaction (other): Arm where injected still feels very slightly sore.
Systemic reaction (other): Very slight soreness in arm around injection spot.
Release 11 — day 35, dose 4
Symptoms: Nasopharynx irritation, some tiredness. Could be allergies.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Left sinus feels congested, may be infected. Feeling tired, pain in neck.
Systemic reaction (other): Some nasal and sinus congestion.
Release 12 — day 14, dose 5
Symptoms: Had flu vaccine shot last evening and I'm feeling a little sick today.
Release 12 — day 28, dose 5
Symptoms: Feeling a lot of sinus congestion and some fatigue.
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 | SARS-CoV-2 test | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release