Y7S-11814-49824
3 vaccinations
3 coded responses
37 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 115 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-02
Survey response — day 21, dose 2MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back, hip and upper leg pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
-
2021-08-10
Survey response — 6 months, dose 2MedDRA: Dysgeusia, Pre-existing disease, Weight decreased — Feeling: GoodFree text: I have noticed that my taste is off. When I had Covid I lost smell and taste for a couple of weeks. After the vaccine shots my taste seems to be off a bit but not as bad as when I had Covid. Ive unexpectedly lost weight over the last several mos.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-24
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-02
- 2021-11-09
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-12-05
Survey response — day 42, dose 3MedDRA: Fatigue, Parosmia, Pre-existing disease, Taste disorder — Feeling: FairFree text: General mild fatigue. Also I'm noticing my taste and smell had been off more than usual since I had the booster. I first lost taste and smell when I had Covid in april2020. I got better but then got worse again after the booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-23
- 2022-04-25
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Free text
Release 4 — day 21, dose 2
Symptoms: Lower back, hip and upper leg pain.
Release 9 — 6 months, dose 2
Symptoms: I have noticed that my taste is off. When I had Covid I lost smell and taste for a couple of weeks. After the vaccine shots my taste seems to be off a bit but not as bad as when I had Covid. Ive unexpectedly lost weight over the last several mos.
Release 10 — day 42, dose 3
Symptoms: General mild fatigue. Also I'm noticing my taste and smell had been off more than usual since I had the booster. I first lost taste and smell when I had Covid in april2020. I got better but then got worse again after the booster.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SD | Weight decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release