Y6U-32145-35085
5 vaccinations
7 coded responses
56 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 930 / CA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: Mild Soreness on Movement of Lt Deltoid Inj SiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: VERY MINIMAL SORENESS AT INJ SITEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction, Myalgia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Soreness at Lt Deltoid Inj SiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Fever · HeadacheFree text: Slight Soreness at Lt Deltoid Inj Site. Much much LESS than yesterdays Pain & Severe Soreness thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: ONLY 1 TBSP of Diarrhoea :: NOT SURE if it was any Food/Water contamination, as my Wife also had the Diarrhoea while she NEVER got the Vaccine ShotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-21
- 2021-03-28
- 2021-04-02
- 2021-04-09
-
2021-10-22
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-02
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Mild Fatigue on 2nd Day EveMedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
-
2022-09-06
Dose 5 — Moderna
-
2022-09-06
Survey response — day 0, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild Soreness at Inj SiteMedDRA releases: 2024-11 · check-in free text available
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-09-06 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild Soreness on Movement of Lt Deltoid Inj Site
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): VERY MINIMAL SORENESS AT INJ SITE
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness at Lt Deltoid Inj Site
Systemic reaction (other): Slight Soreness at Lt Deltoid Inj Site. Much much LESS than yesterdays Pain & Severe Soreness there
Systemic reaction (other): ONLY 1 TBSP of Diarrhoea :: NOT SURE if it was any Food/Water contamination, as my Wife also had the Diarrhoea while she NEVER got the Vaccine Shots
Release 11 — day 7, dose 4
Systemic reaction (other): Mild Fatigue on 2nd Day Eve
Release 12 — day 0, dose 5
Systemic reaction (other): Mild Soreness at Inj Site
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release