YB8-11707-15283
5 vaccinations
7 coded responses
68 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 461 / IN
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 1 — Moderna
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: Feel kind dizzy and wried a littleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
-
2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: But my headache mite be a caffeine headache not to sure about that sorryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-05-26
Dose 2 — Moderna
- 2021-05-26
-
2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
-
2021-06-09
Survey response — day 14, dose 2MedDRA: Feeling cold, Feeling hot, Hyperhidrosis — Feeling: GoodFree text: I'm not to sure . But yesterday i wake up at 2am all hot and sweaty and it was 70 in my house and cold but i was Hot. Not sure if it was the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
-
2021-06-23
Survey response — day 28, dose 2MedDRA: Malaise, Nausea — Feeling: FairFree text: I'm not to sure if it was the shot or not but last firday was feeling little nausea and i got sick. Today going to the bathroom.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-07-07
- 2021-08-25
- 2021-11-24
-
2021-11-28
Dose 3 — Moderna
- 2021-11-28
- 2021-11-29
- 2021-11-30
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Neck pain — Feeling: Fair · Fatigue or tirednessFree text: My chest and neck is sore been that way sense i got my 3rd shotMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
-
2021-12-13
Survey response — day 14, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: 99.8MedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-11
- 2022-02-27
- 2022-05-31
-
2022-07-15
Dose 4 — Moderna
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-18
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
-
2022-09-21
Dose 5 — Moderna
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
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2022-12-21
Survey response — 3 months, dose 5MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: like a really bad had cold all stop up nose runningMedDRA releases: 2024-11 · check-in free text available
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-26 | Moderna | |
| 3 | 2021-11-28 | Moderna | No |
| 4 | 2022-07-15 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Feel kind dizzy and wried a little
Systemic reaction (other): But my headache mite be a caffeine headache not to sure about that sorry
Release 9 — day 14, dose 2
Symptoms: I'm not to sure . But yesterday i wake up at 2am all hot and sweaty and it was 70 in my house and cold but i was Hot. Not sure if it was the vaccine or not.
Release 9 — day 28, dose 2
Symptoms: I'm not to sure if it was the shot or not but last firday was feeling little nausea and i got sick. Today going to the bathroom.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My chest and neck is sore been that way sense i got my 3rd shot
Release 10 — day 14, dose 3
Symptoms: 99.8
Release 12 — 3 months, dose 5
Symptoms: like a really bad had cold all stop up nose running
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 | Feeling cold | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release