Y7W-10548-55623
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: GoodFree text: Felt like a mild rash on left side of torso but went away overnight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since Wednesday afternoon, I have been sneezing a lot, have a stuffy runny nose. No fever, no headache, no aches or pains, no coughing, no upset stomach, no tiredness. No congestion in my chest. I have what appears to be a head cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: GoodFree text: Lower back ache when I woke upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Lower back ache upon awakening but went away once I started walkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffed up noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-05
- 2021-03-13
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Felt like a mild rash on left side of torso but went away overnight.
Release 3 — day 14, dose 1
Symptoms: Since Wednesday afternoon, I have been sneezing a lot, have a stuffy runny nose. No fever, no headache, no aches or pains, no coughing, no upset stomach, no tiredness. No congestion in my chest. I have what appears to be a head cold.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back ache when I woke up
Systemic reaction (other): Lower back ache upon awakening but went away once I started walking
Release 4 — day 7, dose 2
Systemic reaction (other): Stuffed up nose
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 | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release