YAV-29752-67296
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 894 / NV
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Fatigue — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: These symptoms occurred yesterday, mid to late afternoon., particularly pain across mid-back. Some fatigue persists, today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Exercise tolerance decreased, Fatigue — Feeling: GoodFree text: Not fatigued, as much as diminished endurance (tire more easily)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: I noted that I have been experiencing episodes of “mild diarrhea†for the past three days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-12
- 2021-01-19
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2021-01-26
Dose 2 — Moderna
- 2021-01-26
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Very unsteady when standing or walkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Still some unsteadiness when standing / walking. Less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: I realized that I had been experiencing mental fog for past 3-4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
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2022-01-26
Survey response — 12 months, dose 2MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough, chest congestion, fatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): These symptoms occurred yesterday, mid to late afternoon., particularly pain across mid-back. Some fatigue persists, today.
Systemic reaction (other): Not fatigued, as much as diminished endurance (tire more easily)
Systemic reaction (other): I noted that I have been experiencing episodes of “mild diarrhea†for the past three days.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Very unsteady when standing or walking
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Still some unsteadiness when standing / walking. Less than yesterday.
Systemic reaction (other): I realized that I had been experiencing mental fog for past 3-4 days
Release 11 — 12 months, dose 2
Symptoms: Cough, chest congestion, fatigue
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release