Y7F-19404-21285
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
-
2021-03-19
Survey response — day 0, dose 1MedDRA: Euphoric mood, Feeling abnormal — Feeling: GoodFree text: Euphoria? Weird but i felt high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: The arm i got my shot in is sore like ive been lifting weights. I havent beenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — day 14, dose 1MedDRA: Myalgia — Feeling: GoodFree text: The entire arm i got my shot in I continue to experience the feeling of muscle soreness in my forearm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
-
2021-04-16
Survey response — day 0, dose 2MedDRA: Dysgeusia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 21, dose 2MedDRA: Office visit, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe rash on arm leg and face. I went to Doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-05-28
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Injection site pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upset stomach and fever. Also the soreness at injection site has never stepped.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold flu like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Call successfulDoes not wish to fill out VAERS report
-
2022-04-16
Survey response — 12 months, dose 2MedDRA: Adverse reaction, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mild allergy like symptoms and a positive covid test.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-07 | Successful 2022-01-07 |
Does not wish to fill out VAERS report |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Euphoria? Weird but i felt high.
Release 6 — day 7, dose 1
Systemic reaction (other): The arm i got my shot in is sore like ive been lifting weights. I havent been
Release 6 — day 14, dose 1
Symptoms: The entire arm i got my shot in I continue to experience the feeling of muscle soreness in my forearm.
Release 7 — day 0, dose 2
Systemic reaction (other): Metallic taste in mouth
Release 8 — day 21, dose 2
Symptoms: Severe rash on arm leg and face. I went to Doctor.
Release 9 — 3 months, dose 2
Symptoms: Upset stomach and fever. Also the soreness at injection site has never stepped.
Release 10 — 6 months, dose 2
Symptoms: Cold flu like symptoms
Release 11 — 12 months, dose 2
Symptoms: Mild allergy like symptoms and a positive covid test.
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release