Y78-32349-09878
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 775 / TX
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Pyrexia, Skin warm — Feeling: Fair · Be unable to workFree text: Forehead feels warm, a little feverish, but when I check my temperature, it reads a normal 97.6MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
-
2021-02-02
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Fair · Fever · Fatigue or tirednessFree text: I feel feverish, but have no fever, maybe more of a hotflashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: Felt minor feverish, but temperature is okMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Health check-in — day 7, dose 2Feeling: Fair · Fever · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-16
- 2021-02-23
- 2021-03-09
- 2021-03-16
- 2021-05-06
-
2021-08-03
Survey response — 6 months, dose 2MedDRA: Chest pain, Emergency care, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I had chest pains, went to ER, saw my cardiologist, endocrinologist, and pcp and they did ct scans, ekg, ultrasounds, and found nothing. This was last month, 6 months after I recieved the moderna vaccines. · Healthcare visit (other): Specialist appointmentsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-03
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2022-02-04
-
2022-04-20
Dose 3 — Moderna
-
2022-04-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-04-27
- 2022-05-06
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-03
- 2022-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2022-04-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-03 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Forehead feels warm, a little feverish, but when I check my temperature, it reads a normal 97.6
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I feel feverish, but have no fever, maybe more of a hotflash
Systemic reaction (other): Felt minor feverish, but temperature is ok
Release 9 — 6 months, dose 2
Symptoms: I had chest pains, went to ER, saw my cardiologist, endocrinologist, and pcp and they did ct scans, ekg, ultrasounds, and found nothing. This was last month, 6 months after I recieved the moderna vaccines.
Healthcare visit (other): Specialist appointments
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 | Office visit | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release