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YBT-19978-53804

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
104 / NY
Registered
2021-05-12
Relationship
Self
Race
Black or African American
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-05-12
    Registered in v-safe
  3. 2021-05-12
    Dose 2 — Moderna
  4. 2021-05-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Asthenia, Injection site pain, Paraesthesia — Feeling: Poor · Site: Swelling, Itching · Chills · Be unable to do your normal daily activities
    Free text: Intense pain in my opposite shoulder to injection site, similar to a separated shoulder. Tingling in fingers weakness in grip, general weakness in arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  12. 2021-06-02
    Survey response — day 21, dose 2
    MedDRA: Chills, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lethargy headache and chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-23
    Survey response — day 42, dose 2
    MedDRA: Disturbance in attention, Gastrointestinal disorder — Feeling: Poor · Be unable to work or attend school
    Free text: Stomach issues inability to concentrate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-08-11
    Survey response — 3 months, dose 2
    MedDRA: Cognitive disorder, Lethargy — Feeling: Fair
    Free text: Lethargy constant and draining of mental acuity
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-11-12
    Survey response — 6 months, dose 2
    MedDRA: Brain fog, Disturbance in attention, Lethargy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extreme lethargy inability to focus, "Scatterbrained"
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-12
    Survey response — 12 months, dose 2
    MedDRA: Disturbance in attention — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I am having a very difficult time focusing such as on tasks at hand i.e. reading and writing. Cannot stay focused.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-12Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Intense pain in my opposite shoulder to injection site, similar to a separated shoulder. Tingling in fingers weakness in grip, general weakness in arm

Release 8 — day 21, dose 2

2021-06-02

Symptoms: Lethargy headache and chills

Release 9 — day 42, dose 2

2021-06-23

Symptoms: Stomach issues inability to concentrate

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: Lethargy constant and draining of mental acuity

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Extreme lethargy inability to focus, "Scatterbrained"

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: I am having a very difficult time focusing such as on tasks at hand i.e. reading and writing. Cannot stay focused.

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
SDBrain fog · · ✓
SDChills ✓ ✓ ✓
SDCognitive disorder ✓ · ✓
SDDisturbance in attention ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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