Y79-18150-17234
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-23
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Hypersensitivity — Feeling: GoodFree text: Just feel like have seasonal allergies. Nothing more than as usual this time of year. Also was told ok to donate blood 2 days after vaccination . Hopefully true had no adverse affects from that . Was also a very good experience line went fast .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Varicella — Feeling: GoodFree text: Never had shingles before or chicken pox but expiriecef like ripping pain from like hair follicles temporary past couple days .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Abnormal sleep-related event — Feeling: Good · Fatigue or tirednessFree text: Went to bed at 9 oclock not like me sleep usually starts after midnightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Just feel like have seasonal allergies. Nothing more than as usual this time of year. Also was told ok to donate blood 2 days after vaccination . Hopefully true had no adverse affects from that . Was also a very good experience line went fast .
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Never had shingles before or chicken pox but expiriecef like ripping pain from like hair follicles temporary past couple days .
Release 4 — day 7, dose 2
Systemic reaction (other): Went to bed at 9 oclock not like me sleep usually starts after midnight
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Abnormal sleep-related event | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Varicella | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release