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YAC-32403-95985

4 vaccinations 12 coded responses 42 check-ins 12 free-text entries 0 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
925 / CA
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
FX8-33741-37925 Child or adolescent in my care · Male · 2021-07-08
XBV-24452-21423 Child or adolescent in my care · Male · 2021-12-09

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: soreness on arm used for the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Good · Site: Pain
    Free text: A bit of soreness in the abs but I dont think its related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good
    Free text: Very minimal soreness on injected side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Diarrhea
    Free text: Not sure if it was the vaccine or just something I ate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-27
    Survey response — day 14, dose 1
    MedDRA: Dry throat — Feeling: Good
    Free text: A bit of a dry throat. But we do run our heater at night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vaccination site mass, Vaccination site swelling, Vaccination site vesicles — Feeling: Fair · Site: Pain, Redness, Swelling · Diarrhea
    Free text: A liquid bubble more like a blister formed at about the same spot where the vaccine was applied. Also a lump/swelling where vaccine was applied.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  17. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site mass, Injection site swelling, Throat irritation — Feeling: Fair · Site: Swelling · Muscle or body aches
    Free text: A bit of a irritated throat. Lump/swelling in the injected area still present which began 24hrs after vaccine and has be present for the last 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  19. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Dry throat, Oropharyngeal pain, Productive cough — Feeling: Fair
    Free text: Just a sore dry throat and lots of phlegm. It may be due to other things but worth mentioning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Dry throat, Productive cough — Feeling: Good
    Free text: Not sure if related, lots of phlegm and dry throat. No more arm soreness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-18
    Dose 3 — Moderna
  27. 2021-11-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Limb discomfort — Feeling: Good · Site: Pain
    Free text: Discomfort/pain under the armpit
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain
    Free text: Pain or tenderness under armpit
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good · Site: Pain
    Free text: A but of pain/soreness under the armpit area. Not as bad as before
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-25
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-02-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-05-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-10-08
    Dose 4 — Moderna
    Co-administered: Flu
  39. 2022-10-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2022-10-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  41. 2022-10-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-10-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-10-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-11-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-11-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  47. 2023-04-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-11-18Moderna No
42022-10-08Moderna Flu

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): soreness on arm used for the shot

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): A bit of soreness in the abs but I dont think its related.

2021-03-13

Systemic reaction (other): Very minimal soreness on injected side.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Not sure if it was the vaccine or just something I ate.

Release 6 — day 14, dose 1

2021-03-27

Symptoms: A bit of a dry throat. But we do run our heater at night.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): A liquid bubble more like a blister formed at about the same spot where the vaccine was applied. Also a lump/swelling where vaccine was applied.

2021-04-12

Systemic reaction (other): A bit of a irritated throat. Lump/swelling in the injected area still present which began 24hrs after vaccine and has be present for the last 3 days

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Just a sore dry throat and lots of phlegm. It may be due to other things but worth mentioning.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Not sure if related, lots of phlegm and dry throat. No more arm soreness

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Discomfort/pain under the armpit

2021-11-21

Systemic reaction (other): Pain or tenderness under armpit

2021-11-22

Systemic reaction (other): A but of pain/soreness under the armpit area. Not as bad as before

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

FieldPreferred term2021-092023-042024-11
SDDry throat ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROAxillary pain · · ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROLimb discomfort · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROTenderness · · ✓
SROThroat irritation ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVaccination site mass ✓ ✓ ✓
SROVaccination site swelling ✓ ✓ ✓
SROVaccination site vesicles ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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